Marsden Cove Fishing Club Membership

Marsden Cove Fishing Club Membership Application
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Email Address*
Mobile Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Renew Membership

YesNo
Membership card number
If yes to the above please enter your membership card number
Membership Type*
prevnext( X )
Annual Family$100.00NZD

Annual Individual$50.00NZD

Quantity

Total $0.00NZD
Member #1 (card holder)*
First Name, Last Name (1st card holder)
Member #2 (card holder)
First Name, Last Name (2nd card holder)
Date of Birth
For Juniors, ages 17 and under
Member #3
First Name, Last Name
Date of Birth
For Juniors, ages 17 and under
Member #4
First Name, Last Name
Date of Birth
For Juniors, ages 12 and under
Member #5
First Name, Last Name
Date of Birth
For Juniors, ages 17 and under
Member #6
First Name, Last Name
Date of Birth
For Juniors, ages 17 and under
How to Pay
Payment Method

Internet Payment. Our bank account number is: 03-1538-0005633-00Pay at Marsden Cove Fishing Club Room (open Thurs, Fri and Sat from 4:30pm)
By completing and submitting this form does not guarantee you membership of MCFC Inc.

Your application for club membership will go before the committee for ratification
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Marsden Cove Fishing Club Membership Application