*Membership Number (required) As shown on Membership Card
*First Name (required) As shown on Membership Card
*Surname (required) As shown on Membership Card
Mobile Phone (preferred)
Home Phone
*Email Address (required)
*Residential Address
*Suburb
*Postcode
*State
*Country
Postal Address (if different from above)
Suburb
Postcode
State
Country
*Please select a renewal option ---Ordinary Member - 1 year: $10Ordinary Member - 5 years: $40Ordinary Member - 10 years: $80Pensioner - 1 year: $5Pensioner - 5 years: $20Pensioner - 10 years: $40
*Pensioner Number (required)
I would like to opt in to receive information about gaming promotions *I hereby agree to renew my membership at Walgett RSL Club and 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.
