MEMBERSHIP FORM - Coledale RSL Club
Transcript of MEMBERSHIP FORM - Coledale RSL Club
731 Lawrence Hargrave DriveColedale NSW 2515
(02) 4267 1873
coledalersl.com.aufacebook.com/coledalerslclub
Join today and you will have access to:
• Membership discounts• Birthday rewards during
your birth month• Earning and spending
bonus points• Members only promotions
and heaps more! MEMBERSHIP FORM
Title: _____________________________________________________
First Name:_________________________ Surname:_____________________________
Date of Birth:______________________________________________________________
Residential Address: _______________________________________________________
_________________________________________________________________________
Suburb: ____________________________ Postcode:_____________________________
Postal Address: ____________________________________________________________
_________________________________________________________________________
Suburb: ____________________________ Postcode: _____________________________
Mobile: ________________________ Home Phone: _____________________________
Email Address: ____________________________________________________________
Occupation: _____________________________________________________________
I would like to opt in to receive information about gaming promotions: Yes No
I hereby apply to become a member of the Coledale RSL Club Limited and if accepted I agree to be bound by the memorandum and articles of association and any rules and regulations of the club. I acknowledge that I will receive communication electronically from the Club including but not limited to AGM and renewal notices and other marketing.
Signature:_______________________________ Date: ____________________________
Office Use OnlyMembership Number: ___________________________________________________________________ID Number: ____________________________________________________________________________Date: _______________________________ Receipt Number: ___________________________________Directors Meeting Date: __________________________________________________________________Date Letter Sent: ___________________________________________________________________
The Coledale RSL collects information that is available to you in the form of a Player Activity Statement. This is made available to you on request. Think about your choices. Call GAMBLING HELP 1800 858 858 www.gamblinghelp.nsw.gov.au
1 Year $4 3 Year $10Pensioner
1 Year $5 3 Year $12Social