Tablelands Enduro Riders Association

Member Registration

Member Details

Residential Address

Other information

MQ Officals Status *
MQ Licence Number
Do you hold a Blue Card (working with children)? *
If Yes, please provide card number and expiry date
Do you hold a First Aid Certificate? *
If Yes, please provide expiry date

Membership Fees

Family (2 Adults and up to 6 Children) - $50.00

Single (Senior) - $30.00

Single (Junior) - $15.00

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
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Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.