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Online Membership Application/Renewal

Gift Voucher?

Received one of our Gift Vouchers? Redeem it here by quoting the Voucher Number in the form below.

It can be used for Individual or Family Membership depending on the Voucher type.

Donations

Donations for ongoing support & maintenance are always appreciated & gratefully accepted.

Annual membership fee

Single $40 / Family $65 / Organisation $95

Annual membership period

Membership is from 1st April each year to 31st March the following year.

New or renewed Memberships will last until 31st March 2024.

Please complete the Membership Application/Renewal below:

Even if renewing, please provide all details to ensure that we have your most up-to-date contact information, thank you.

When you click ‘Submit’ below, you will automatically be sent a confirmation email containing the information you have provided, as well as payment instructions.

Available payment options are also listed below this form.

    Contact name*

    Membership type* Individual $40Family $65Organisation $95Donation Only

    Please indicate the number of people that this membership covers (ie: Family or Organisation size)*

    New or existing member* NewExisting

    Membership Number (if existing)

    Using a Gift Voucher?* NoYes

    Gift Voucher number

    Payment amount $

    Organisation name (For organisational membership only)

    Organisation website (For organisational membership only)

    Organisation Facebook (For organisational membership only)

    Do you wish to have AGM voting rights* NoYes

    Email*(Please ensure that it is correct)

    Phone*

    Postal address*

    Family member names & birthdays (Birthdays optional for our on-air Birthday Book shout-out)

    Your favourite South Coast FM Show(s)

    Spam protection*. What is

    Hint: Melbourne | Sydney | Brisbane | Perth | Adelaide | Darwin | Hobart


    Click 'Submit' when ready to send the application to us. You will automatically receive a confirmation copy via email.

    Payment options

    Payment by Bank Transfer (preferred):
    Account name: South Coast FM / BSB: 633-000 (Bendigo Bank) / Account number: 109264341
    Please include your membership name as the Transfer Reference.

    It would help us greatly, if you would please also email us at Accounts@SouthCoastFM.au with payment details including your name & the amount when you pay via Bank Transfer. Thank-you in advance.

    Payment by cheque:
    Cheque made out to ‘South Coast FM’
    Posted to South Coast FM, P.O. Box 144 Inverloch, Vic, 3996
    Please include your membership name & number on the rear of the cheque.