5 Year Membership – Ordinary

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Membership Number *

Title *MrMrsMs

First name *

Surname *

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State * Select an option…Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Date of Birth *

Address *

Country *Australia

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I understand that by applying or renewing membership at Nambucca Heads RSL Club, and if admitted I agree to be bound by and so comply with the constitution and by-laws of the Club. I also declare that I have attained the age of 18 years, and the date of birth stated on this application is correct. I acknowledge that upon joining, I will also automatically be enrolled as a Liquor Legends Rewards member. I consent to receiving marketing materials, advertising materials and other offer materials from Nambucca Heads RSL including but not limited to material relating to birthday rewards, prize draws, promotions, entertainment, food, beverage, gaming machines, gaming and the Nambucca RSL Liquor Legends Rewards loyalty program. I understand that my participation in all promotions run by Nambucca Heads RSL is subject to the Terms and Conditions, and understand that these change from time to time. *