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Application for Club Membership
* - Membership Details Required
Select your membership type
First Names*
Surname*
Known as
Date of Birth
Occupation
Email Address*
Mobile*
Phone
Postal Address* Postal Code I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Membership Fee (Annual)
Club Member$50
Please pay online using the bank account details for Waihi Beach RSA
Account: 02 0472 0179889 00
Reference: Surname
Details: NEW or Membership number (if known)
A copy of this agreement will be emailed to you and we will contact you as soon as possible to confirm your membership

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99 Beach Rd, Waihi Beach
(07) 863 5689