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Home
About Us
Management Committee, Staff and Patron
CPB Downloads
Merchandise
Club News & Events
Membership
Functions
Sponsors
Gallery
Contact
Become a member
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PERSONAL DETAILS
First Name
*
Last Name
*
Home Address
*
Postcode
*
Mobile
*
Email
*
How did you hear about us?
*
Occupation
Employer
Drivers License Number
*
D.O.B
*
BOAT, TRAILER & CAR DETAILS – NO DRIVE ON/OFF ALLOWED
Boat make/class
*
Boat name
Overall length (m)
*
Beam (m)
*
DOT registration
*
Expiry Date
Attach DOT Registration
Click or drag a file to this area to upload.
Insurer
*
Expiry Date
Attach Insurance Registration
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Power or Sail
Car registration
*
Trailer registration
PROPOSER DETAILS
*If you don't have a Proposer or Seconder please leave blank and we will arrange on your behalf. Only full members of not less than one years standing may may propose or be a seconder.
Proposer’s Name
Member number
Seconder’s Name
Member number
I hereby submit my Nomination fee if applicable and Annual subscription. The information provided is true and correct, and if accepted, I agree to abide by the Constitution and Rules of the Cockburn Power Boats Club Inc. including VIP requirement. I confirm I do not have any criminal convictions involving violence or offences against children. I also confirm I have not had my membership of any Club or organisation terminated or resigned as a result of, or, to avoid any form of disciplinary issue or action. Please contact the Club if you are unable to confirm the previous statements.
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Fishing
Payment Details
Membership subscriptions and payments are securely processed using Stripe.
Country Membership Fees
Annual Membership (to 30 June 2025)
Price:
$252.00
Nomination Fee
Price:
$700.00
Keys & Ice/trolley key
Price:
$100.00
Total
$0.00
Stripe Credit Card
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Card
Name on Card
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