JoinForm – A'van Club of Australia Inc.

Membership Application Form

Club membership is open to owners of 'A' shaped folding campers manufactured by A'van Campers Pty. Ltd.

Please submit form with a $45 eft payment to the A'van Club of Australia Inc. - this covers a $15 joining fee, plus $30 annual subscription.

Annual subscriptions are all due on March 31 each year.

Please Pay by Electronic Funds Transfer

Account Name:

Avan Club of Australia Inc

BSB Number:

062 519

Account number:

10259739

Amount:

$45

Reference:

Please put 'New' and your Surname

Please enter up to two names per application;

Title *

First Name *

Last Name *

Mobile Phone

Partner's Title

Partner's First Name

Partner's Last Name

Partner's Mobile Phone

Email Address *

Home Phone

Number and Street *

Address Line 2

Address Line 3

Town/Suburb *

State *

Post Code *

Current Avan Owned *

If you are using a P.O. Box address and would like your home Town/Suburb on your badge, please enter it here.

Badge Town/Suburb

If 'yes' is selected to AMD option (default), you are giving permission for your names, town or suburb, post code, phone number and email address to be shown in the 'Members Directory'. Only viewable by other members. The 'AMD Phone' will contain your mobile phone number. You may prefer to select 'Partner's Mobile' or 'Home Phone' as your contact Phone number.

AMD *

AMD Phone

Only enter the 'AMD Town/Suburb' if the suburb/town where you live is different to your postal address above.

AMD Town/Suburb

Optional:

A'van Assist are member's who are willing to provide assistance to other A'vanners during their travels. Selecting 'Yes' to Avan Assist is where you allow your names and contact details to be listed for members to contact you if they are in your area and need information and/or a possible overnight stay. Select 'yes' to be contacted to provide information and select 'Yes' if you are happy to 'Allow an Over Night stay'

A'van Assist, provide information

Allow O/Nite Park

Optional:

Select the Regional Group or Groups nearest you that you would call your Home group, that you would like to attend as members. For example, if you live near NSW South Coast, you may also like to attend Events from the ACT and/or NSW Greater Sydney. If you live in Victoria, you may wish to attend the Vic A'vanner events and the Vic Strzelecki events on a regular basis. You should only select the regions nearest to you. This selected information is so that Regional Co-ordinators may contact you and welcome you to events and update you with information.

Note that when you are a club member, you may attend any of the club events advertised in the calendar. Just book with park and confirm attendance with the event Hosts or as directed in the calendar details.

ACT

NSW Gtr Syd

NSW Mid Nth

NSW Sth Cst

QLD Central

QLD Far Nth

QLD Sth East

QLD Wide Bay

SOLO

TAS

VIC

VIC Strz

I/We agree that by submitting this Membership Application, that I/We have read the Information and Policy statements and agree to abide by the rules of the A'van Club of Australia Inc.