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Alternate Email1

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MQ Licence Number
Do you hold a Blue Card (working with children)? *	YesNo
If Yes, please provide card number and expiry date
Do you hold a First Aid Certificate? *	YesNo
If Yes, please provide expiry date

Membership Fees

Family (2 Adults and up to 6 Children) - $50.00

Single (Senior) - $30.00

Single (Junior) - $15.00

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

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Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

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

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Tablelands Enduro Riders Association

Member Registration

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Membership Fees