APPLICATION FOR RESTRICTED MEMBERSHIP TO 30 JUNE 2021
I hereby make application for Restricted Membership to 30 June 2021
MEMBERSHIP TYPE
CODE
COST
RESTRICTED MEMBERSHIP
4-1710
$165.50
TOTAL PAYABLE
INC GST
$165.50
IF MY APPLICATION IS ACCEPTED I AGREE TO BE BOUND BY THE CONSTITUTION AND RULES OF THE CLUB
PRIOR TO SUCCESSFUL APPLICATION, YOU SHALL BE CONTACTED BY THE CLUB FOR PAYMENT BY CREDIT CARD, CHEQUE OR CASH.