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Membership Form

Surname(*)

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Christian Names(*)

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Date of Birth(*)

Day01020304050607080910111213141516171819202122232425262728293031

Month010203040506070809101112

Year196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022

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Private Address(*)

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Phone

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Mobile

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Email(*)

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Are you a member of any other game fishing club(s)?(*)

YES

NO

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If yes, please provide name of club(s)

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Have you ever been refused membership to any other club(s)?(*)

YES

NO

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If yes, please provide reason(s)

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Are you a skipper? (If YES, please complete SHGFC Boat Register Information Form.)(*)

YES

NO

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CLICK HERE to fill out the 'Boat Register Information Form'. A new tab will open so that you can return to membership form.

Would you like to be notified of club events via Email / SMS?

YES

NO

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To be Completed for Renewal of Membership or Application for New Membership

I have read the Nomination/Renewal and acknowledge that it is to be made to the Shoalhaven Game Fishing Club Limited, that my Nomination/Renewal may be advised by circular to all members, and that it is entirely at the discretion of the Board of Directors to accept or reject this Nomination/Renewal in accordance with the Articles of Memorandum of Association.

Applicant Signature

Sign Above

Clear

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Date(*)

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BELOW to be completed for New Member Applications.

We consider the Nominee to be a fit and proper person to be admitted to membership of the Club.
The Nominee has expressed a willingness to pay the prescribed fees, and consents to be bound by the Articles and Memorandum of Association, and the By–Laws of the Club.

Name of Proposer

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Proposer Signature

Sign Above

Clear

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I have known the Nominee for (enter years)

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Name of Seconder

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Seconder Signature

Sign Above

Clear

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I have known the Nominee for (enter years)

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Select Membership(*)

Adult Membership - 95.00 AUDJunior Membership (U16)

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You can select multiple memberships, add family members with your form submission. For example you can purchase 2 or more family 'Adult' Memberships with the one form submission. Please note that any additional memberships purchased must be for family members only. You will need to make a separate form submission for 'Junior' Memberships.

quantity

12345678910

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Choose Payment Method

EFTPayPal

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Total

0.00 AUD

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SUBMIT

CLUB SPONSORS

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