Bundaberg & District Western Performance Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

As a member of the club you may be called upon to help out during the year. Please tick preferred options:
Steward *
Gate Marshall
Set/Pack Up
Please tick if you would be interested in any of the following positions:
Committee Position
Points Scorer
Fundraising
Ring Announcer

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.