Repower Shoalhaven Membership
This form will be manually checked against your membership payment by our Treasurer before website access is granted.
All information is kept confidential.
*
indicates required
Name:
Email:
Comment:
I am...
renewing my membership
joining up!
First Name
*
Last Name
*
Email Address
*
Address
*
City
State/Territory
Membership Option
*
Three Years - $40
One Year - $20
I have made a payment via the following:
*
Paypal/Credit Card
Bank Transfer
Cash/Cheque
I agree to adhere to our Constitution, as a member
Yes, I agree
