: ACT Rogaining Association 2012 Membership Application
ACTRA logo and link to ACTRA home page     ACT Rogaining Association 2012 Membership Application

Renewing Members - no need to use this form

Existing members can renew their membership by simply paying the fee, either by BPAY or by cheque. An email with your CRN and the information you need to pay by BPAY will be sent out to you. If you haven't received an email by the end of January, please contact the membership secretary by email to membership@act.rogaine.asn.au or call 02 62882323.

If NOT joining as part of an event entry - do not use this form

Please use this form instead

New Members (or members renewing after a long lapse in membership)

This form sends your membership details to the membership secretary of the ACTRA. Your membership will become official upon receipt of the membership dues in full.

Membership Fees

Membership is by calendar year only; fees are $0.00 for an Adult and $0.00 for a Junior aged 17 years or younger as of 1st January 2012. The appropriate fees should have already been added to your entry fee for the event that you have just entered.


Surname
First Name(s)
Postal Address: Street or PO Box
Suburb, Town or Locality
State or Territory
Postcode
Birth Date; DD-MM-YYYY
Email Address
Home Phone
Work Phone
Mobile Phone
Membership Fee
Event with payment for this membership

Please indicate how you would like to assist in either the organisation of events or by being on the committee:


Any technical difficulties with the submission of this form, contact webmaster@act.rogaine.asn.au.

 

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