Membership / Renewal Form Membership Details & Main ContactFirst Name:* Last Name:* Address:* Postal Address:* Contact Phone:* Mobile:* Email:* Membership or Renewal:*Select OneNew MemberRenew my MembershipAre you?* Senior Male Senior Female Junior Date of Birth (for Junior Member) Is there a 2nd membership?* Yes No 2nd Membership DetailsName:* Address:* Contact Phone:* Email:* Membership or Renewal*Select OneNew MembershipRenew my MembershipAre you?* Senior Male Senior Female Junior Date of Birth (for Junior Member) Is there a 3rd Membership* Yes No 3rd Membership DetailsName:* Address:* Contact Phone:* Email:* Membership or Renewal*Select OneNew MembershipRenew my MembershipAre you?* Senior Male Senior Female Junior Date of Birth (for Junior Member) Is there a 4th Membership* Yes No 4th Membership DetailsName:* Address:* Contact Phone:* Email:* Membership or Renewal*Select OneNew MembershipRenew my MembershipAre 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 MembershipsPayment SectionSenior Male & Female Memberships Price: $ 100.00 Quantity: Junior Membership/s Price: $ 50.00 Quantity: Total $ 0.00 Payment Option* Direct Deposit – Only Available 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 2021 Game Fishing Tournament do the following:Become a MemberRegister for the tournamentRead the Tournament RulesFill in the Mothership formProvide your vessel info for the VMR Hervey Bay GARMIN Game Fishing Club Tournament Form Hervey Bay GARMIN Game Fishing Club Mothership Form Hervey Bay Game Fishing Club Members Boat Information Form