Membership Application

Fields marked with * cannot be blank.

Application Category* New MembershipRenewal

Membership Type* SingleFamily

Membership Period – Single* 1 Year $20 +$ 20.003 Years $50 +$ 50.001 Year Concession $15 +$ 15.003 Years Concession $40 +$ 40.00

Membership Period – Family* 1 Year $30 +$ 30.003 Years $80 +$ 80.001 Year Concession $25 +$ 25.003 Years Concession $65 +$ 65.00

Total Amount

Payment Method*

You can pay by either credit or debit card

Card Details

Credit or Debit card

Membership Details*

Full Address*

Phone*

Email*

Partner’s Membership Details*

Volunteer Choices

Would you like to volunteer for any of the following options?

ReceptionFunctionsBar ServiceRSACateringExhibition Installations

You will also need to complete MidCoast Council's Volunteer Registration Form

Click the link below to open their registration form in a new tab in your browser and complete it. When you finish the registration form, return to this form and continue.

Click here

Do you hold a current NSW Responsible Service of Alcohol (RSA) certificate?* YesNo