Senior Associate Membership Application

Please enter your full name.
This field is required.
Please enter your existing membership number.
This field is required.
Please select your date of birth.
dd/mm/yyyy
This field is required.
Enter the year you became a full member.
This field is required.
Your mobile number (without country code).
This field is required.
Full name of the proposed recipient.
This field is required.
Enter your date of birth, for example 05/09/1970.
This field is required.
Describe your relationship to the current member.
This field is required.
Proposed recipient's mobile number (without country code).
This field is required.
Enter the residential street address of the proposed recipient.
This field is required.
Enter the suburb of the proposed recipient.
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State or Territory
Select the state or territory of the proposed recipient.
This field is required.
Enter the postcode of the proposed recipient's address.
This field is required.

Application and transfer

The Club will assess your eligibility and confirm the share transfer process, required documents and any applicable fees or subscriptions. Submitting this form does not itself transfer membership or shares.

Download the statutory declaration

Upload a PDF copy of your share certificate. If it has been lost, please download and complete the statutory declaration linked above, have it witnessed, and upload it instead. You may submit your application now and provide the document later. The Membership Director will advise how to return any original certificate.
This field is required.
I apply for Senior Associate Membership in connection with the proposed transfer above. I confirm that the information provided is correct and agree to comply with the Club rules and booking conditions.
This field is required.
Please provide your signature.
This field is required.
Save Progress Saves your current progress and provides a link to resume later.
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