Membership Renewal | SWR 99.9 FM

SWR Membership Renewal

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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.

Name

Your Details

Name (as displayed on your Driver's Licence or Photo ID)(Required)

Given Names Surname

Gender

Pronouns

Email

SWR Email Address

Your SWR email is usually formatted [email protected]

Personal Email Address(Required)

Would you like your swr email address to be your primary address used for office correspondence?(Required)

SWR Email Address

Personal Email Address

Address

Residential Address(Required)

Street Address Suburb State Post Code

Mailing Address(Required)

Same as residential address

Street Address Suburb State Post Code

Phone Numbers

Mobile Phone Number(Required)

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

Home Phone Number

Emergency Contact

Emergency Contact – Full Name(Required)

Please enter their full name

Emergency Contact – Phone Number(Required)

Please enter their phone number

Emergency Contact – Relationship to you(Required)

Spouse, Parents, Siblings etc

SWR Rulebook

By renewing my membership with SWRFM Community Media Assoc. Inc, I have read and accepted the contents of the SWR Rulebook May 2025, and my membership will be bound by these rules.

Rulebook Agreement(Required)

By renewing my membership with SWRFM Community Media Assoc. Inc, I have read and accepted the contents of the SWR Rulebook V5 updated May 2025, and my membership will be bound by these rules.

Agree

Membership Fees

Payment of Membership fees.

Total

Your Membership Cost. This renews at $20 per year. Or $10 if you joined within the months of March-May this year.

Payment Type(Required)

Please select your preferred payment method.

EFT Bank Transfer

Please pay amount owing to:

SWR 99.9 FM
BSB: 082-356
Account Number: 92-121-2809
Bank: National Australia Bank.

Please enter the word “Renewal” and your name as reference in the transaction details when making your payment

Signature

By signing this form below, I hereby renew my membership with SWRFM Community Media Association Incorporated for the period 1July 2025, to 30 June 2026 at a fee of $20 payable to SWR 99.9_ FM by 30/6/25 By renewing my membership with SWRFM Community Media Assoc. Inc, I have read and accepted the contents of the SWR Rulebook V5 updated May 2025, and my membership wil be bound by these rules.(Required)