CMW Application for Prospective Membership


Prospective Membership is open to people over the age of 18. The cost is $20.00 for 12 months or until you qualify as a full member and then up to next 30 June.


Are you an Ex Member wishing to rejoin? If yes, there is no need to complete this form. Just email the Membership Secretary membership@cmw.asn.au and include your contact details.


To join as a Prospective Member:-


• Read and agree with our Conditions of Membership - CMW Responsibility and Conditions of Membership.
• Enter your details below and hit the Submit button - this will generate an
Application Form.
• Confirm your agreement with our terms and conditions on the Application
Form and pay the prescribed fee (an invoice will be emailed to you).
• Read our Guide to Bushwalking before going on a club trip - CMW Guide to Bushwalking.


Note: Fields in *RED are mandatory.


*Name:                               

*Street Address:       

*Suburb / Town:       

*State:      

*Post Code:              


*Date of Birth:
  < dd/mm/yyyy - Example: 30/06/1985 >

  < Approx birth date is OK. We may need to supply the age composition of an overdue party to the Authorities. >

Gender:    


Your Contact Details (Mobile phone required for safety reasons only)

Home Phone:      
Work Phone:       

*Mobile Phone:    Enter "none" if no mobile phone.

*Email Address:     

*Preferred Method of Contact:   


Vehicle details

Registration Number:                        

Vehicle Make:
 



Emergency Contact Details (not a CMW Member)

*Emergency Contact Name:     

*Relationship:   

*Emergency Contact Phone Number(s):     

Emergency Contact Email Address:               


Some optional information about yourself.

Your bushwalking experience (Pick the most appropriate from drop down box):    

Details of any health problems that require special attention:



How did you find out about CMW ?




Click Submit to generate Application Form: