MEMBERSHIP APPLICATIONPLEASE NOTE: MEMBERSHIP RUNS TILL DECEMBER 31 OF EACH YEAR Membership Type(Required) 1 Year ($10) 5 Years ($40) Title(Required)MrMrsMissMsGiven Names(Required) Surname(Required) Address(Required) Suburb(Required) Postcode(Required) Date of birth(Required) Occupation(Required) Telephone(Required) Mobile(Required) Email(Required) The Club’s Annual Report is available via our website – www.clubberowra.au. If you wish to receive a copy, please select one of the following: I wish to receive Annual report by email I will collect a printed copy of the Annual Report from the Club I request that you enter my name on the Register of Members as a member and agree to be bound by your Constitution, Rules and By Laws (available on request) which may be introduced from time to time. I declare that I am over the age of eighteen (18) years of age and that all of the above are true and correct. Proof of age/verification may be called upon at any time at the discretion of ManagementTerms and conditions(Required) Tick if understand accept all Terms and Conditions (see below for full details)(Required)BEROWRA RSL CLUB (Trading as Club Berowra) TERMS & CONDITIONS Berowra RSL Club Ltd T/A Club Berowra is subject to the provisions of the Privacy Act 1988. The personal information provided by you on this application and attached documents will be used to process your membership application. Failure to provide all the requested information may result in your application being rejected. You have the right to access and correct any of your personal information that the Club holds about you. The Club does not disclose your personal information to any other organisation or person unless there is a legal requirement to do so. The Club may disclose your information to third parties that provide services under contract to the Club. These contracts require the third party to keep your personal information confidential and secure. The Corporations Legislation Amendment (Simpler Regulatory System) Act 2007 provides new options for you to access our annual report each year, you have the advantage of being able to download the annual report from our website www.clubberowra.au. If you prefer a printed copy, we can post it to you on request. Total Credit CardCard Details Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. Δ