Membership Application/Renewal ONLINE Form -

Membership Application/Renewal ONLINE Form

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Section 1 - Membership Details
MEMBER: Please complete this section with your details. ADDITIONAL FAMILY MEMBER/S: Please complete Section 3 with these details.
Name of Member
Prefix First Last
Member's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Member's Email
Member's Phone Number

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Section 2 - Membership Types
Please make a selection from the following Membership types. NOTE: Record which Membership Types chosen, to complete in Section 3 - Additional Family Member/s details.
Yearly Membership
Price: $ 120.00 Quantity:
1 Member's Shield + 1 Member's Shield (valid for 3 days for the Cairns Show). Entitled to discounted tickets to the Wine Awards and Auto Spectacular.
Permanent Member (10 Year Tenure)
Price: $ 1,200.00 Quantity:
1 member's Shield + 1 Member's Guest (valid for 3 days of the Cairns Show, for a 10 year period). Entitled to discounted tickets to the Wine Awards and Auto Spectacular.
Showtime Member
Price: $ 65.00 Quantity:
1 Member's Shield (valid for 3 days of the Cairns Show). Showtime Members are entitled to exclusive members discounts and benefits at the Cairns Show. As a Show promotion only, Showtime Members are not entitled to discounted tickets to the Wine Awards and Auto Spectacular.
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Student Member
Price: $ 24.00 Quantity:
1 Student Member's Shield (valid for 3 days of the Cairns Show). Only available to those with a VALID student identification card (International students accepted).
Child Member
Price: $ 16.00 Quantity:
1 Child Member's Shield (valid for 3 days of the Cairns Show). Only available to those aged 5 to UNDER 14 years.
Total Cost

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Section 3 - Additional Family Member Details
Please complete the relevant fields as selected from Section 2 - Membership Types.
Name of Guest
First Last

ADDITIONAL Family Member/s

Membership Type	First Name	Last Name	D.O.B

Click the + button to add ADDITIONAL CHILDREN / STUDENT MEMBERSHIPS

Section 4 - Payment for Registration
PLEASE SELECT PAYMENT METHOD from the drop down menu.
Payment Method*
PLEASE SEECT PAYMENT METHOD from the drop down menu.
PLEASE NOTE: ALL Debit & Credit Cards incur a 0.95% surcharge fee. ALL Amex Cards incur a 1.5% surcharge fee.
Name on Card*
Card Number*
Card Expiry Date (MM/YY)*
CVV*
To pay via direct deposit, pay to:
BSB: 633108
Account:154876270
Cairns Agricultural, Pastoral and Mining Association
Bendigo Bank
USE YOUR SURNAME AND CONTACT PHONE NUMBER AS THE PAYMENT REFERENCE
To pay via cash, please visit the Cairns Showgrounds Office:
Corner of Severin St & Mulgrave Rd, Cairns, QLD 4870
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Tax Invoice / Receipt*
- YES
- NO
Do you require a Tax Invoice / Receipt to be sent to your email?

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Section 5 - Privacy Statement & Important Information
Privacy Statement
The information provided by you in any application for membership or application to enter is used by the Cairns Show Association (CSA) to offer member services or to organise and conduct competitions at the Cairns Show. By applying for membership or entering our competitions you consent to provide such details as your name, address and exhibit details. Competition information may be made available to the media and included in CSA publications. Your information will not be disclosed without your consent for any other purpose unless required by the law. I do hereby apply for Membership of the Cairns Agricultural, Pastoral and Mining Association. Should I be accepted as a Member, I hereby agree to accept and abide by the Association’s Rules and Regulations as from time to time amended.
Do you agree to the above Privacy Statement?*
- YES
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Important Information
IMPORTANT INFORMATION IF YOUR DETAILS ARE SUBJECT TO CHANGE PRIOR TO THE SHOW, PLEASE CONTACT THE CAIRNS SHOW OFFICE AND ADVISE US OF THE CHANGE. YOUR MEMBER’S SHIELD/S WILL BE SENT TO THE POSTAL ADDRESS WRITTEN ON THIS FORM. NO REPLACEMENTS WILL BE ISSUED IF LOST, STOLEN OR SENT TO THE INCORRECT ADDRESS. The Cairns Show Office will notify you via email when your Shield/s have been sent by post. If you’d like to pick up your Shields from the Cairns Show Office, please contact us prior to your arrival so that we may have them ready in advance.
Do you understand the above important information?*
- YES

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Membership Application/Renewal ONLINE Form

Membership Application/Renewal ONLINE Form

Step 1 of 4

Section 1 - Membership Details

Section 2 - Membership Types

Section 3 - Additional Family Member Details

Section 4 - Payment for Registration

PLEASE NOTE: ALL Debit & Credit Cards incur a 0.95% surcharge fee. ALL Amex Cards incur a 1.5% surcharge fee.

To pay via direct deposit, pay to: BSB: 633108 Account:154876270 Cairns Agricultural, Pastoral and Mining Association Bendigo Bank

To pay via cash, please visit the Cairns Showgrounds Office: Corner of Severin St & Mulgrave Rd, Cairns, QLD 4870

Section 5 - Privacy Statement & Important Information

Privacy Statement

Important Information

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To pay via direct deposit, pay to:
BSB: 633108
Account:154876270
Cairns Agricultural, Pastoral and Mining Association
Bendigo Bank

To pay via cash, please visit the Cairns Showgrounds Office:
Corner of Severin St & Mulgrave Rd, Cairns, QLD 4870