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Membership Form

Membership Application and Declaration 1 January 2017 to 31 December 2017

Our Bank Account details for payment
We only accept Bank Deposits (no cheques).
Bank Account Details below:
Commonwealth Bank Australia
Account name: Waveski Surfing Australia
BSB: 064 404
Account Number: 1047 5278
Use your surname as reference, send remittance to contest@waveskisurfingaustralia.org

PERSONAL DETAILS:
Title:
First Name:
Surname:
Date of Birth:
POSTAL DETAILS:
Street Address:
Suburb:
State:
Postcode:
CONTACT DETAILS:
Contact Number (mobile preferred):
Email:
I hereby apply for membership of Waveski Surfing Australia Inc. (“WSA”) for the period 1 January 2017 to 31 December 2017. I agree to abide by the rules and constitution of WSA. I understand that this form must be completed and membership fees paid before I take part in any activity or event sanctioned by WSA. I understand that my membership fee also covers any insurance taken out on behalf of WSA members by WSA.
COST OF MEMBERSHIP:
Select Membership:
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PRIVACY STATEMENT:
 Waveski Surfing Australia Inc. collects your personal information to assist in providing products and services in relation to the sport. If you do not provide this information we may not be able to register you. You can gain access to your personal information by Emailing Waveski Surfing Australia Inc. From time to time Waveski Surfing Australia will circulate information and special offers to members. If you do not wish to receive these please tick this box.
 I'm not a robot

 I'm not a robot

0447 223 852 (Bill Campbell)
vicepresident@waveskisurfingaustralia.org