Temporary member Price: $5 for 6 Months First Name:* First Name Required Last Name:* Last Name Required Mobile phone:* Mobile phone is Required Home address line 1:* Home address line 1 is Required Home address line 2: Home address line 2 is not valid City:* City is Required State:* State is Required NSWQLDVICWASATASACTNT Postcode:* Postcode is Required Your emergency contact (name): Your emergency contact (name) is not valid Your emergency contact (phone): Your emergency contact (phone) is not valid Your age:* Your age is Required -------18-3535-4545-5555-6565-7575-85>85 Please tell us about your hiking experience (you may tick more than one):* Please tell us about your hiking experience (you may tick more than one) is Required --------BeginnerRegular short and day walksOvernight walks carrying a full packWalker leader or co-leader How did you find out about us?: How did you find out about us? is not valid --------Search engineSocial mediaWord of mouthOther Username:* Invalid Username Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Medium" or stronger Select Payment Method Pay with PayPal or credit/debit card (Preferred, instant access) Pay to our BSB and Account number (Requires manual processing) Pay via your PayPal account Please include your first and last name in the description for electronic funds transfer. Your membership and login will only be active once our Treasurer has confirmed funds are received. Account name Coffs Hikers Inc Bendigo Bank BSB 633000 Account number 187575824 I have read and accept the Acknowledgement of Risk and Obligations* I have read and consent to the Privacy Policy. Personal information is used for purposes of organising activities and operating Coffs Hikers. No val Please fix the errors above
