New Membership ApplicationLearn more about the membership for this club and download the link below. DownloadInvitation to Join – manual Membership Form Salutations* Mr Mrs Ms Miss Name* Surname* Flat / Apartment Street Number* PO Box City* Name on Card* Date of Birth* DD slash MM slash YYYY Gender* Marital Status Occupation* CONTACT DETAILSTelephone Mobile* Email* I’m happy to receive emails from the Club about special deals, coming entertainment and Club promotions* Yes No Are you a member of another Affiliated Chartered Club?* Yes No If Yes, please list it here* Are you prohibited by Law from consuming Alcohol? ** Yes No Have you ever been refused or had membership revoked from any other Affiliated Club* Yes No Do you have any Criminal Convictions? (Other than driving offenses)* Yes No If yes – Please state Here* Membership Type & FeesMembership Type*Full Membership + Joining Fee ($45.00)Full Junior Membership + Joining Fee ($45.00)Full Family Membership + Joining Fee ($70.00)Full Star Cricket Membership + Joining Fee ($45.00)Sporting & Special Interest Clubs 8 Ball or Pool Over 60’s Pool TT&CC Golf TT&CC Indoor Bowls TT&CC Indoor Bowls Junior TT&CC Indoor Bowls Social St Josephs Indoor Bowls Ladies Motorcycle Rod n Gun Mid Eastern Dance Cards / 500 Hockey Petanque Go Carting Go Carting Family (3 or more) Social Four Wheel Drive Darts Rock n Roll Snooker Wine Friendship Associations – South Canterbury RSA Membership photoMax. file size: 5 MB.upload photo belowPayment Method* Bank Deposit Pay online with by PayPal or with your Debit/Credit Card Total $ 0.00 Date* DD slash MM slash YYYY EmailThis field is for validation purposes and should be left unchanged.
