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Cassowary Coast Multisport Club
Membership Application
Please complete the relevant sections of the following application.
Membership entitles the member to various club benefits and event discounts from the time
of acceptance of application until March the following year.
Note: the committee reserves the right to refuse membership or terminate membership without refund
if they see fit.
Individual Membership - $30
First Name
Surname
Date of Birth
Postal Address
Email Address
Mobile Phone Number
Date of application
Method of Payment
Payment enclosed
I have paid online
Family Membership - $50
Surname
Postal Address
Email Address
Mobile Phone Number
First Names
Dates of Birth
Family Members
Date of application
Method of Payment
Payment enclosed
I have paid online
Please return this completed form via post or email.
Bank details for online payments: Bendigo Bank, BSB 633-108, account 150921716.
Please include your surname as a reference.
Thank you!
Cassowary Coast Multisport Club
PO Box 281
Mission Beach 4852
Website: ccmclub.org.au
Email: [email protected]
Also find us on facebook.
President:
Jeff Coward
Mobile:
0434 019 515