• MEMBERSHIP APPLICATION

  • APPLICANT INFORMATION

  • Current Street & Suburb address (your membership card and Member's Page password will be sent to this address):
  • KyuDan 
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  • EMERGENCY CONTACT

  • DECLARATION

  • *Typing your name here constitutes signature
  • (only required for new memberships)
  • *Typing your name here constitutes signature
  • (if applicant is under 18 years)
  • PAYMENT DETAILS FOR ANNUAL MEMBERSHIP

  • PLEASE PAY THE FEE TO THE ACCOUNT BELOW BY BSB:
    Account Name: AYA Consolidated Fund
    BSB:  112-908
    Account: 469 299 661
    Description: Membership "your name here"

*We Respect Your Privacy & Information