Renew Membership

Season*:

Title*:

First Name*:

Last Name*:

Gender*:

Unit Number: Street Number*:

Address Line 1*:

Address Line 2:

City/Suburb*:

State*: Postcode*:

Country:

Email*:

Phone:

Mobile:

NOTE: This form is not renewing the boat listed below. If you are renewing your boat, you will need to do this on our online boat renewal form.

I am the Boat Owner
I am the Boat Skipper

Membership	Duration (years)	Fee
	Current Male Member	$130.00
	Current Male Pensioner Member	$130.00
	Full Time Student male Member	$70.00
	Life Member Male	$0.00
	Male Angler	$130.00
	New Male Member	$130.00
	New male Pensioner member	$130.00
	Current Female Adult Member	$130.00
	Female Angler	$130.00
	Full Time Student Female Member	$70.00
	Life Member Female	$0.00
	New Female Member	$130.00
	Junior Female Member	$20.00
	Junior Male Member	$20.00
	Small Fry Female Member	$0.00
	Small Fry Male Member	$0.00