Payment for Day Membership

Please enter information on this form for day membership payment. The amount you need to pay is $50. (Day Membership is for Novice / Improver comps only.- Day members may place, but cannot set or break records.)

First Name*

Last Name*

Gender

Address*

Address 2

Suburb*

State*

Email*

Mobile*

Date of Birth

Competition Entering?*

What gym do you train at?

I have read and agree to comply with*

CODE OF CONDUCT

WPC RULE BOOK

Total Amount

Payment method

Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Payment for Day Membership

What our Members Say...