Join Online

You can join the Port Macquarie Panthers Rock n Roll Club online. We require all fields of the form to be filled out. Cost is just $10 per year or part thereof. The membership year starts in September. You can pay via cheque or direct deposit to our bank account. After filling in the form and submitting it you will receive an email with payment options outlined. Your $10 helps support the Club financially.

You can also use this form to update your Membership details!

Type : * Select OneNew MemberUpdate Member

First Name :*

Last Name :*

Your Email :*  Don't forget to sign up for our Newsletter.

Your Street Number and Name :*  In the format 2/33 Hastings River Drive

Town : *

Postcode : *

Birth Day : * Select One01020304050607080910111213141516171819202122232425262728293031

Birth Month : * Select OneJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Your Phone Number : *

Comments : We'd love to know why you joined, which things the club does you are most interested in etc. This gives us an idea what new members want.

Panthers Membership Number*