Edge Radio Station Membership
Name
*
First Name
Last Name
Your Program
If you have a program
Email
*
example@example.com
Update Your Details
It's a legal requirement that we have your actual details.
Email
example@example.com
mobile
date of birth
are you a current student?
role at station
e.g Presenter, Office Vol, COM
Emergency Contact Details
It's a legal requirement that we have an emergency contact. It can be a family member, friend, or an Edge Radio member, but make sure to ask first!
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Email
example@example.com
Payment
If you have a concession such as student card or health care card, please choose that option.
Membership Type
*
prev
next
( X )
Station Membership
$
50.00
AUD
General Concession Station Membership
$
40.00
AUD
Student Concession
$
25.00
AUD
Total
$
0.00
AUD
Submit
Should be Empty: