MembershipAPPLICATIONAPPLICATION FORM 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 Occupation Address(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 Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged. Δ Your membership will be available for pick up from the club in 72 hours or on your next visit.