ACT Rogaining Association 2017 Membership Application

Renewing Members click here to retrieve your BPay Customer Reference Number for the purposes of membership renewal. Existing members can renew membership by simply paying the fee, either by BPAY or by cheque.

If not joining as part of an event entry please use the "without event entry" membership form instead of using the form below.

Membership FORM for New Members Joining with an Event Entry

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 $10.00 for an Adult and $1.00 for a Junior aged 17 years or younger as of the date of the event. 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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