Membership Renewal

Step 1 of 2

Please complete the form below to renew your membership with SWR 99.9 FM

Please Select Renewal Type:(Required)

Please choose the correct option. If you recently joined SWR as a new member within the months of March – May this year, please select the $10 option.

Section 1

Your Details

Name(Required)

First Last

Gender(Required)

Pronouns(Required)

Email(Required)

Residential Address(Required)

Street Address Suburb State Post Code

Mailing Address(Required)

Please complete even it is the same as your street address.

Street Address Suburb State Post Code

Mobile Phone Number(Required)

If you don’t have a mobile, enter your Primary Phone number here.

Home Phone Number

If applicable, or other out-of-hours phone number.

Emergency Contact(Required)

Please enter their full name, phone number and your relation to them

By renewing my membership with SWRFM Community Media Assoc. Inc, I have read and accepted the contents of the SWR Rulebook, and my membership will be bound by these rules.

Rulebook Agreement Answer(Required)

I Agree (Required)

Section 1

Section 2