Membership Renewal Form

Membership Number*
As shown on Membership Card
Name*
First Last
As shown on Membership Card
Mobile Phone
Date Of Birth
Date Format: DD slash MM slash YYYY
Email Address*
Confirm Email Address*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please select a renewal option*
- 1 Year Membership - $10 Under 55 Years
- 1 Year Membership - $8 Over 55 Years
- 3 Year Membership - $22 Under 55 Years
- 3 Year Membership - $18 Over 55 Years
I would like to opt in to receive information about gaming promotions*
- Yes
- No
*
I agree to the privacy policy.
I hereby agree to renew my membership at Warilla Sports 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.