Membership APPLICATION APPLICATION FORM NameThis field is for validation purposes and should be left unchanged.Membership CategoryMembership(Required) 1 Year Membership - $5 5 Year Membership - $15 Perpetual Membership* - $30 *Once only membership fee. Card must be updated every 5yrs.Select One(Required) I will be joining as an Ordinary Member I will be joining the Karuah RSL Sub branch Member DetailsMember Name(Required) TitleMr.Mrs.Ms.Miss Title First Surname Preferred Name Date of Birth(Required) MM slash DD slash YYYY OccupationAddress(Required)RESIDENTIAL ADDRESS IS COMPULSORY - CANNOT BE A PO BOX. Street Address Address Line 2 Suburb Postcode Mailing Address as above?(Required) Yes No Address(Required)Please provide mailing address. Street Address Address Line 2 Suburb Postcode Mobile(Required)Home PhoneEmail Address(Required)Your current email address will enable us to give the required notice of the AGM in a more cost-effective way. We will not send any other emails without your request. Enter Email Confirm Email Consent(Required) I would like to receive promotion/gaming offers via email(Required)Consent(Required) I agree to be bound by your Constitution, Rules, Regulations and By-Laws of the Club. A copy of the club constitution is available on request from the office. Our privacy act is available for viewing on our website.(Required)Total Δ Your membership will be available for pick up from the club in 72 hours or on your next visit.
