Gender, Title, Name , Date of Birth and Payment Method

Gender: *

FemaleMale

Female Title *

MrsMsMiss

Male Title *

MrMaster

First Name *

Last Name *

Date of Birth *

Select Your Payment Option

Select your payment method *

Free Membership: for Life Members, Juniors and Small Fry MembershipDebit or Credit CardBank Transfer: BSB: 015-660 Account Number: 347136951Cash

For Free Membership categories no fee is payable.
For Debit / Credit card payments please note that they attract a 3.5% + $0.30 per transaction fee charged by the form, third party financial institution.
For Bank Transfer payment please select "Bank Transfer" contained in the drop-down menu for "Club Committee Member that you gave your payment to".
For Cash payments please select the P.M.O.A.C. Committee Member from the drop-down menu to indicate the "Club Committee Member that you gave your payment to"

Payment Fees

Life Member: confirms personal details and continued commitment to the Club
New Senior: over 16 years and new to the Club: $20.00 joining fee + Membership fee.
New Pensioner: over 16 years and a State Pensioner (not privately funded Super Annuation).
Renew Senior: annual renewal for existing Senior Member.
Renew Pensioner: annual renewal for existing Pensioner Member.
Junior: attained 11 years old but not yet 16 years old.
Small Fry; not yet attained 11 years old.

Payment Amount

Select the name of the Committee Member that you have given your payment to.

Address, Telephone and Email

Address *

Residential *Postal: if same type "SAME" *

City *

State *

Postcode *

Enter and verify your mobile phone number: *

Send code

On successful registration you will also receive a welcome email from the Club President and some links and attachments to useful Club resources such as the Members Handbook, monthly competition target fish species, and a calendar of minor competitions and events.

Enter your email address *If you do not have an email address use the Club email address: members@pmoac.com

Your Preferred Method for Receiving Cub Communications / Information

Your Boat or the Boat you Regularly Fish From

Do you have a boat or, do you fish from someone else’s boat *

YesNo

Boat Name: *

Boat Registraton # *

Boat make *

Boat Class: *

Class 1 - Under 6.5 MClass 2 - 6.5 M up to 7.5 MClass 3 - Over 7.5 M

Boat construction *

AluminiumFibreglassWoodenRigid Hull Inflatable Boat (RHIB)

Boat Trailer Registration #: *

Conditions, and Signature

I, my heirs, executors and administrators agree to indemnify and keep indemnified and to hold harmless the organizers of the Port Macdonnell Offshore Angling Club fishing competitions and tournaments, its servants and agents and rescue services and each other from and against actions, costs claims, damages, charges and expenses whatsoever which may be brought or made or claimed against them or any of them arising out of or in relation to their participation in Port Macdonnell Offshore Angling Club competitions and tournamenst. I have read the Port Macdonnell Offshore Angling Club Members Handbook and rules and conditions, which I understand and agree to be bound.

Signature / of parent or guardian *

Draw signature|Type signatureClear

Verification and SECURE PAYMENT: Credit or Debit Card (encrypted payment)

Verification *

Type the letters and or numerals exactly as they appear in the CAPTCHA Verification image box above in the box that says "Enter the code here". Make sure to use capitals and lower case letters exactly as per the CAPTCHA image. Do not use any spaces between letters and or numerals.

PAYMENT *

Pay