Surname:

 

First Name:

 

No. & Street

 

 

 

Suburb:

 

Postcode:

Telephone: OR

 

Mobile:

Email:

 

Date of Birth:

 

Areas of Interest - Select any that apply

Bushwalking

 

Rock Climbing

 

Camping

 

Cycle Touring

 

Mountain Biking

 

Cross-Country Skiing

 

Mountaineering

 

Adventure Travel

 

White Water Kayaking

 

Sea Kayaking

 

Multi-Sports

 

Environmental Concerns

 

 

 

 

 To email to us

Application Form to join The Bogong Club.
NB: Open to Australian residents only.
Application valid for 12 months.

To Apply: Sorry but we do not have encrypted credit card facilities at present. You may either:
1/. Print the form below and fax it to us on 03 9602 1997 with your credit card details. We will deduct $30 and post you your member card.
2/. Complete the beige form and submit it. This will email your details to us. We will then ring you for your credit card details and post you a member card.
Privacy Policy: Bogong will only use the personal information you have chosen to provide us for the purpose for which you provided it. On no account will your details be sold or otherwise provided to a third party. Bogong may contact Bogong Club members, including by email, to inform you of special events or offers that we feel are of interest to members. Any such communications will always be of a nature in keeping with the activities typified by our business.
 

This section will not submit electronically. Please complete only if you are printing this form and faxing to Bogong.

Card Number:

 

Expiry Date:

 

Name on Card:

 

I agree my card will be debited $30 per Bogong Club Membership

Signature:

Fax to
Bogong Equipment
03 9602 1997

Link to Home Page

374 Lt Bourke St

Melbourne 3000

Tel: 03 9600 0599

 

Bogong is Australia’s Leading Store for Outdoor Equipment