Membership

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Online Membership Form

Membership Details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone No

Mobile

Email(Required)

Enter Email Confirm Email

Occupation

Date of Birth

Do you have a relationship with a BAPS member, current or past?

If yes, please outline:

Yes

Relationship with a BAPS member

Tell us a bit about yourself

Payment Details

Select your membership(Required)

Please select the type of membership you would like to purchase below. General Membership Membership includes entry to Ballarat Show for Member, Members Children, up to 3 (5-15 years), Children under 5 and free Guest Ticket Youth Membership (Under 21 Years) Membership includes entry to the Ballarat Show for Member. Youth Members, over 18 have voting rights.

Total

Signature