2023 Membership Form

Membership Year ends 31st December 2023

Family membership covers 2 adults and any immediate children under 18 years or 1 adult and any immediate children under 18 years.
Single membership covers 1 adult.
Aged Pensioner membership covers 1 aged pensioner.

Type of Membership:*

New members must be nominated and seconded by two current members.

Nominated by:*

Seconded by:*

Form cannot be accepted unless these sections are completed. Membership cards will be posted to the address supplied below.

Applicants Name

Name(s) of Adults*

Address:*

Contact Information

Children

NOTE: Dependents 18 and over need to complete their own form. Please indicate if child is High School or Primary School.

I have read the indemnity detailed below and agree to abide by the rules of our constitution.

You will receive a confirmation email with our banking details. Your membership application will not be processed until payment has been received.

Direct Deposit Details: BSB 654000 Account No. 22065965

Please quote Surname as your reference

INDEMNITY: I, the above named, agree to the rules of the KBFC constitution. In consideration of being accepted as a member I absolve
the Kurrimine Beach Fishing Club Inc, its volunteers and assistants from any liability whatsoever. The club, invitees, licencees, or guests
will not be responsible for any loss, injury or damage of any kind.

2023 Membership Form

Applicants Name

Contact Information

Children

BECOME A MEMBER

Our Committee

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Kurrimine Beach Fishing Club