Associate Membership Application There was an error trying to submit your form. Please try again. Full name * Please enter your full name as it appears on your ID. This field is required. Date of Birth * Enter your date of birth, for example 05/11/2003 This field is required. Email address * Please enter a valid email address. This field is required. Confirm email address * Please confirm your email address. This field is required. Mobile number * Please enter your mobile phone number. This field is required. Residential street address * Please enter your residential street address. This field is required. Suburb * Please enter your suburb. This field is required. State or territory * Please select your state or territory. Select an option New South Wales Victoria Queensland Western Australia South Australia Tasmania Australian Capital Territory Northern Territory This field is required. Postcode * Please enter your postcode. This field is required. Related member’s full name * Please enter the full name of the related member. This field is required. Member number If applicable, please enter the related member's number. This field is required. Relationship to the member * Please describe your relationship to the member. This field is required. I apply for Associate Membership and confirm that the information provided is correct. I agree to comply with the Club rules and booking conditions and pay the applicable annual subscription when due. * This field is required. Applicant Signature Please sign here to confirm your application. This field is required. Submit Save Progress Saves your current progress and provides a link to resume later. There was an error trying to submit your form. Please try again.
