Membership Renewal - Club Central Menai

Membership Options

Membership Number*

Membership Type

Form of Identification*

Identification Number*

Personal Information

Title*

Name*

First Last

Date of Birth*

Phone*

Email*

Home Address

Address*

Street Address Suburb State / Province / Region ZIP / Postal Code

Communication Preferences

First Language*

Language if Other

On occasion the Club posts information to all its members advising them of special offers, entertainment or events and general Club news. Any personal information provided here will be used solely to advise Club Central members of these upcoming events and/or special offers. Any information provided will never be accessed by any persons or entities other than Club Central for the purposes stated.

Annual Report and Notices of AGM

For notices of meetings I prefer to receive them via*

SMS

Post

if you wish to have the Annual Report mailed to you, please make your request in writing addressed to the Chief Executive Officer at the above address. The club’s Annual Report is available to download from our website www.clubcentral.org.au

Community Groups

Are you a sporting club member or affiliated with a community group?*

Yes

Please list the name of Sporting Club and/or Community group

Marketing and Promotions

I prefer to receive general information including the club's What's On brochure via*

SMS

Email and/or SMS

Do not send

I prefer to receive gaming information including special VIP party invites via*

SMS

Email and/or SMS

Do not send

Credit Card

Card Details

Cardholder Name

CAPTCHA

MEMBERSHIP	PRICE
1 Year	$2.20
5 Years	$2.20