Western Australian Rock Lobster Fishers' Federation
Application for Membership or
Renewal of Membership

Please complete this form, print it out and send along with payment to WARLFF PO Box 3341, Broadway, Nedlands 6909

Family Name
  
Given Names
  
Street No and Name
  
Town/Suburb
  
Post Code
  
Federation Membership No.
  
New Member
   Yes    No
Telephone
  
Fax
  
Mobile
  
Email
  
Vessal Name
  
Boat Licence Number
  
Trading Name
  

I wish to apply for membership/renewal of membership of the Western Australian Rock Lobster Fishers'Federation (The Federation).

I enclose a cheque for $_____________ being:

Membership Fees:

Licence Holder: $150 per licence held
Skipper: $150
Owner/Operator $300

Signature:__________________________ Date:_________________