Get Involved - Become a Member in 2013

SOUTHERN DISTRICTS RUGBY CLUB LIMITED
ABN: 22 136 893 013
223 Belgrave Esplanade, Sylvania Waters, NSW, 2224
Telephone: 9522 5533 Facsimile: 9522 5767 or Email Us
SCHEDULE 1 (article 2.2) APPLICATION FOR MEMBERSHIP

If you want to print it & fax it, here it is:
2013 Membership Form (237 KB)
File Uploaded 20-Nov-2012 12:17 AM

* Required

First Name *
Last Name *
Email Address *
Home Address *
City *
State *
Zipcode/Postcode *
Country *
Home Phone Number
Work Phone Number
Cell Phone Number
Application for membership of Southern Districts Rugby Club Limited
I am a by occupation *
I was born on *
I submit my credit card payment for $100.00 knowing that membership entitles me to: Entry to all Home Games for the 2012 Season, and A 50¢ Discount for each drink purchased at the Club Bar, with the presentation of my Membership Card. I request you consider my application for membership and if approved, enter my name in the appropriate register of members. I consent to being immediately permitted as a provisional member. I hereby agree to be bound by the Memorandum and Articles of Association and any rules and regulations or by-laws of the Club, which are in force.
Dated this day of *
Proposer of the Applicant
Name *
Address *
The proposer has known me for a
Period of *
The proposer considers me to be of good character and fit to be a member of the Club.
Payment
Name on Card *
Card Number *
Card Expiry *
Card Type *
CCV Number *
Amount *
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