Membership Credit card – Noosa Jazz Club

About

Membership with Credit card

Your Membership will be valid for one year from the day you submit payment and will be renewed automatically.
To cancel your auto renewal or if you need assistance – Contact Us
Becoming a member will open up your access to our member benefits and you will receive all of our updates and news.

Membership Payment with Credit Card

Use this form to sign up as a member and make payment with credit card. Do not use this form for PayPal – go back to the membership page and choose PayPal.

New Membership or Renewal – please choose(Required)

Member details with credit card payment (Required)

You can use this form for a maximum of two memberships. If paying for one member enter 1 and if paying for two members enter 2 in the quantity.

Price: $ 20.00

Subtotal

Name of first member(Required)

First Last

Email(Required)

Phone(Required)

Name of second member

Add other member details if you are paying for a second membership.

First Last

Add the email of the second member

Phone

Add the phone number of the second member

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

Credit Card

Card Details

Cardholder Name

Thank you for supporting the Noosa Heads Jazz Club