JOIN WAG NOW

Join online by filling out the FORM below.

NOTE:

This electronic form requires a credit card payment to be made, and all fields marked with an asterisk must be filled in. Otherwise it will not be accepted by our WEBSITE.

Alternatively, if you do not wish to pay by credit card, you can download a membership form below:

 
Membership

  1. Personal Details

    Title
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  2. First Name(*)
    Please enter your first name.
  3. Surname(*)
    Please enter your surname.
  4. Occupation
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  5. Email(*)
    Please enter a valid email address.
  6. Password(*)
    Please enter a desired password.
    Desired Password

  7. Contact Details

    Address
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  8. Town / City
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  9. Postcode
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  10. State
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  11. Phone (Home)
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  12. Phone (Business)
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  13. Phone (Mobile)
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  14. Fax
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  15. Subscriptions

    Waterfront Action Group Running expenses
    Subscription



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  16. WAG Fighting Fund Donation (Optional)
    $.00Invalid Input
  17. Notes
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  18. Waterfront Property Members - Registration Details

    Property Details
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  19. Property Description (e.g. jetty, boatshed, reclaimed land, berthing pen, etc)
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  20. Lease/Licence No
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  21. Credit Card Information

    Please debit my(*)


    Please select your card type.
  22. Card Number(*)
    Please enter your card number.
  23. Exp Date(*)
    Please enter your cards expiry date.
  24. Cardholder name(*)
    Please enter the cardholder's name.

  25. Please agree to be bound by the rules of the association.

  26. Please acknowledge your liability.
  27. How did you find out about WAG?
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  28. Please enter the following code in the feild provided.
    Please enter the following code in the feild provided.
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