Membership Application / Membership Renewal
Please fill out the fields below.
Enter Date
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date_range
Name
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Full Address
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Email Address
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Mobile Phone Number
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Secondary contact phone number
Occupation
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Membership Type
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Family Membership
Single Membership
Names of dependants covered by family membership (Including Dates of birth) Children over 18 yrs are not covered by family membership
Police / VPS / Emergency Services members ....Please supply Registered number / Rank / Station or Work Centre
Civilian applications must have current VPAC membership sponsor or serving police sponsor. Complete sponsor details including contact information.
First time joining fee $150 / Family subscription $50 per year / Single membership $40 per year. Direct payment via Bank Vic, Victoria Police Alpine Club, BSB 704230 Account 100010305 (Supply EFT receipt number & details)
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