Join Us - FPV Rebels

Your Details

First Name

Last Name

Phone

Date of birth

Gender

Male Female Rather not specify

Address 1

Address 2

Suburb

State

Postcode

Pilot Name

Half year membership

Junior: $55 (FPV Rebels: $20 - MAAA/MAAQ: $35)
Senior: $110 (FPV Rebels: $45 - MAAA/MAAQ: $65)

MAAA/MAAQ Number

Existing FPV Rebels Member

Yes No

FPV Membership

Senior Junior

Membership Fee

Full Member including MAAA/MAAQ Member without MAAA/MAAQ

Payment Type

Credit Card (in Person) Cash Bank Transfer

Yes, I acknowledge this is me and I agree to abide by club rules and terms