First name*

Last name*

Phone *Please enter a 10 digit phone number.

Street Address*

State / Territory * Select an option…Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Suburb*

Postcode *

Username *

Email address *

Password *

Date of Birth *Just start typing. The slashes will be entered automatically.

Hobie Membership Club Number *You must input 4 numbers. If your Membership Club number is 64 enter it as 0064.

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