Family Membership Form

Family Membership

A family membership includes two adults and up to three children.

Do not use this form if you hold an existing/expired family membership.
For family memberships, please complete the two step process below. The family membership consist of the membership fee of $60.00 plus the fishing competition/function levy of $25.00
Total $85.00 per year

To create a family membership you must complete the two step process below:

Step 1 - Complete required fields

* Indicates required field

Name Member 1 *

First

Last

Name Member 2 *

First

Last

Family Address *

Line 1

Line 2

City

State

Zip Code

Country

Name Member 3 *

First

Last

Name Member 5 *

First

Last

Name Member 4 *

First

Last

Family Email *

Phone Number Member 1 *

Phone Number Member 2 *

Submit

Step 2 - Make Payment Below (There are two payment options)

New Family Membership 21/22 Season

A$85.00

Pay Now

Alternatively you can direct deposit the funds into our bank account:

Corinella Boating & Angling Club Bank Account Details
Bendigo Bank BSB: 633-000
Account: 124063223

Please include your name as reference of the direct deposit ,
and email corinellafishingclub@gmail.com
to advise payment amount and what the payment is for
should you direct deposit funds into the account

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