The Bush Club, bushwalking in Sydney, Bush walking

Application for prospective membership

******* Please make your EFT before you fill in this form.

******* In the description box on your bank submission form, type your full name which will identify you on our bank statement.

Our bank details for the transfer are:

BSB: 032087
Account Number: 163369
Account name: The Bush Club Inc.

Please fill in a separate form for each applicant, even if there are more than one in a household. A single combined EFT for a household is fine.
Given Name
Family Name
Gender


Mailing Address
(Number and street or
PO Box)
Suburb (Please use capitals)
State Please change your home country if you are an overseas visitor
Post Code
Home Phone
Mobile Phone
Email address
Email address confirm
Emergency Contact Name
Emergency Contact Phone
Year of birth (optional) This is just to help us get an idea of who is interested in joining the Bush Club. Click here to view our Privacy Policy
IMPORTANT *****
This must be ticked

Click here to view the Risk acknowledgement form (Close the window to return here)

I have read the Risk Acknowledgement form and accept its conditions
Prospective membership fee
Prospective member joining in QTR 1 (Jul-Sep)
Prospective member joining in QTR 2 (Oct-Dec)
Prospective member joining in QTR 3 (Jan-Mar)
Prospective member joining in QTR 4 (Apr-Jun)
Donation (optional) $  The Bush Club gives small annual donations or subscribes to selected conservation organisations.
Total amount $
Date of EFT

Please make the EFT before you send this form
Email communications

Please send my quarterly newsletter and walks program by email (to the email address above?)

Please email me notification of Short Notice walks
  Are you an active member of another bushwalking club?
How did you hear about the Bush Club?
Any other comments?
 
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