Become a Member – Lavington Anglers Club

Name *

First

Last

Email *

Contact Number

Date of Birth *

DD/MM/YYYY

Residential Address

Occupation

Fees for new Membership *

Entrance Fee – $50.00

This fee is applicable for new members who are not current members of the club.

Membership Application *

Family Application – $70.00
Senior Application – $50.00
Pensioner Application – $30.00
Junior & Sub Junior Application – $10.00

Please choose from above application types. If completing Family application please complete below additional family member information, otherwise please submit form.

Family Membership shall cover a couple with members who are financially dependant upon them and who are undergoing full time study and who are 26 years of age or under.

Junior Members ten years of age but under 16 years.

Sub Junior: Under 10 years of age.

Additional Members at the same residential address

Senior Member – $15.00
Pensioner Member – $10.00
Junior & Sub-Junior Member – $5.00

Additional Family Member 1

First

Last

Date of Birth Family Member 1

DD/MM/YYYY

Additional Family Member 2

First

Last

Date of Birth Family Member 2

DD/MM/YYYY

Additional Family Member 3

First

Last

Date of Birth Family Member 3

DD/MM/YYYY

Additional Family Member 4

First

Last

Date of Birth Family Member 4

DD/MM/YYYY

Additional Comments

If there is any additional information that is required to be submitted, please insert above.