Your Name (required)

Your Email (required)

Your Mobile Number (required)

DOB (required)

Address (required)

Occupation (required)

Subject: ("New Member" or "Updated Contact Info")

Select Membership Type:
Member & Guest $90Member & Guest (Pensioner) $60Single Member $60Single Member (Pensioner) $45Single Member (Junior) $35Silver Member (5 years) $450Gold Member (10 years) $850Corporate Member (5 years) $800

Name and Membership Number of 2 current financial LTC Member (required):

Terms and Conditions
I hereby accept the Terms & Conditions of the Lismore Turf Club Membership