Membership / Renewal Form

Membership Details & Main Contact
First Name:*
Last Name:*
Address:*
Postal Address:*
Contact Phone:*
Mobile:*
Email:*
Emergency Contact Name:*
Emergency Contact Phone:*
Membership or Renewal:*
Are you?*
Note – A Junior Member is a person under the age of 16 years old.
- Senior Male
- Senior Female
- Junior
Date of Birth (for Junior Member)*
Is there a 2nd membership?*
- Yes
- No
2nd Membership Details
To ensure HBGFC can provide updates and correspondence to all members, please ensure phone numbers and emails are correct for that membership. Please don’t add the same phone and email for multiple members.
Name:*
Address:*
Contact Phone:*
Email:*
Emergency Contact Name:*
Emergency Contact Phone:*
Membership or Renewal*
Are you?*
- Senior Male
- Senior Female
- Junior
Date of Birth (for Junior Member)*
Is there a 3rd Membership*
- Yes
- No
3rd Membership Details
Name:*
Address:*
Contact Phone:*
Email:*
Emergency Contact Name:*
Emergency Contact Phone:*
Membership or Renewal*
Are you?*
- Senior Male
- Senior Female
- Junior
Date of Birth (for Junior Member)*
Is there a 4th Membership*
- Yes
- No
4th Membership Details
Name:*
Address:*
Contact Phone:*
Email:*
Emergency Contact Name:*
Emergency Contact Phone:*
Membership or Renewal*
Are you?*
- Senior Male
- Senior Female
- Junior
Date of Birth (for Junior Member)*
Do you have more than 4 members to join or renew?
- Yes
- No
More than 4?
Additional Memberships
Payment Section
Senior Male & Female Memberships
Price: $ 100.00
Junior Membership/s
Price: $ 50.00
Note – A Junior Member is a person under the age of 16 years old.
Total
$ 0.00
Payment Option*
- Direct Deposit
- Credit/Debit Card
Direct Deposit: Commonwealth Bank
Acccount: HBBCGFC
BSB: 064426
Account: 10472054

Please ensure you use your name as reference if making direct deposit.
Credit/Debt Card Details*
Card Details
Cardholder Name
Identifying Reference:*
Check this please

To take part in the 2022 Game Fishing Tournament do the following:

Become a Member or already be a member of an affiliated Q.G.F.A. or G.F.A.A Club
Register for the tournament
Read the Tournament Rules
Fill in the Mothership form
Provide your vessel info for the VMR

Membership / Renewal Form

Membership Details & Main Contact

2nd Membership Details

3rd Membership Details

4th Membership Details

More than 4?

Payment Section