Boomerang Association of Australia — Online Membership Form

To complete your membership application or renewal, or to change the details of your membership, please fill out the form on this page. Unfortunately we can not take online payments directly, so you will need to then either pay via direct deposit to our bank account, by sending a cheque or money order to the Registrar, or by directly handing payment to one of our committee members.

I am: of type:

Group/family name:

Existing membership number (if you have one):

I will pay by:

Mailing Address:		Suburb/Town:
State:	Postcode:	Country:
Telephone (home):		Telephone (work):
Telephone (mobile):		Telephone (fax):
E-mail address:

Enter your details below — if you are not applying for a Family or Group membership, you only need to fill in the first line. If there are more than five people in your Family or Group, please insert information on the remaining people in the "Comments" field at the bottom of this form.

Number of people on this membership:

Gender	Title	First Name	Initials	Last Name	Preferred Greeting	Birthdate
eg.	Mr	William	W	Willardson	Billy	29 1980

Any other comments?