Tablelands Enduro Riders Association

Member Registration

Member Details

Residential Address

Mailing 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.
Do you want to renew your membership?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.