THE BRIBIE ISLAND |
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THE BRIBIE ISLAND |
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New Application Rejoin M/Ship Card No.
Family Membership Individual Membership*
Please print this form and mail to the Membership Officer, together with
a cheque made out to
The Bribie Island Sportfishing Club Inc
P O Box 352, Redcliffe QLD 4020
| Surname: | ||
| First Name: | DOB: / / | Age: |
| Address: | Suburb: | Postcode: |
| Telephone:Bus( ) | Home( ) | Mobile |
| Email: | ||
* Dependents over 16 years need to apply separately for senior membership
| Spouse's Name | DOB | / / | Age | OFFICE USE ONLY |
||
| Children | DOB | / / | Age | JM/JF/SJM/SJF | ||
| Children | DOB | / / | Age | JM/JF/SJM/SJF | ||
| Children | DOB | / / | Age | JM/JF/SJM/SJF | ||
| Children | DOB | / / | Age | JM/JF/SJM/SJF |
I wish to make application to the Bribie Island Sportfishing Club Inc and seek membership registration with the Australian National Sportfishing Association (ANSA) and hereby agree to abide by the rules of the BISFC Inc and ANSA Qld Inc. Application for membership will only be accepted when accompanied by the applicable fees, and is subject to acceptance by the BISFC Inc Committee.
I also acknowledge that I will not hold the BISFC Inc or ANSA Qld responsible for any injuries to any of the above persons applying for membership, or damage to property, incurred whilst taking part in any official activity of BISFC Inc or ANSA Qld Inc.
| Applicant's Signature | Date | / / |
Please print this form and mail to the Membership Officer, together with
a cheque made out to the Bribie Island Sportfishing Club Inc
PO Box 352, Redcliffe QLD 4020
OFFICE USE ONLY
ACCEPTANCE OF MEMBERSHIP/S YES NO DATE ............................
MEMBERSHIP Nos ....................................................................................................
MEMBERSHIP KIT SENT DATE ........................... SIGNED..........................................