EST. in 1992 and walking for pleasure ever since

Family Membership Subscription

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Please enter your information in the form below to process the subscription for your Family Membership.

Once you have completed this form you can select your payment method at the bottom of the page.

If you are using the Offline method you will need to transfer the funds into the club bank account.

Bank Account details are shown after you process you subscription.

No action will take place on our behalf until we see that the funds have been deposited.

If you are using PayPal please be sure that you have a PayPal account otherwise you will loose your

registration details if you want to go back to this page, as the system does not allow you to use the back button on your browser.

Credit Card details are not stored on this website

Username*

Password*

Retype Password *

New or Existing Member *

New

Existing

Title *

First Name *

Last Name *

Birth Year *

Address *

Postal Address

Email *

City / Town *

Postcode *

State *

Home Phone

Work Phone

Mobile Number

Preferred Contact Number *

Emergency Contact Number (Optional but recommended)

Program/Newsletter by Post / Email? *

Email $0.00

Post $25.00

Full Name Family Member 1

Family Member 1 email

Are you adding a Child/Children?

Yes

Children $15 each

Name of Child/Children

Purchase a badge - $7 each

Yes

How many Badges

Computer Skills *

None

Beginner

Limited Knowledge

Good Knowledge

Broad Knowledge

Highly Skilled

Unknown

Purchase the Pandani Book $20.00

$0.00

$20.00

Car Stickers - $2 each

I agree to the Club's policies *

yes

PayPal CCard $2 Fee
Offline payment has no fee
Please check total before processing

Payment Information

Price

Payment Fee

Total Amount

Payment Method *

By signing up to this subscription plan and agreeing to the Privacy Policy you agree to this web site storing your information.

I accept

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