MEMBERSHIP APPLICATION You can apply for Parramatta Leagues Club Membership online by completing the form below. PERSONAL INFORMATION STEP 1 of 2 Type of Membership1 Year -- $15.003 Years -- $18.005 Years -- $20.00Title*TitleMrMrsMsMissFirst Name* Surname* Date of Birth* DD slash MM slash YYYY Street Address* Suburb* Postcode* State/Territory* Mobile Phone*Home PhoneEmail Address* I consent to receiving gaming promotion communications Yes No Keep me updated with information on club promotions, news and special offers Yes No Reminder: Your Membership application is not complete until you visit the Club and verify your photo ID. You will not be eligible for Member benefits (including Member parking rates) until you complete your Membership and collect your card.* I understand DECLARATIONS & CONSENT STEP 2 of 2 I hereby apply for membership of Parramatta Leagues Club Limited and Vikings Sports Club Limited (“the Club”) and acknowledge that my membership will be provisional until approved by the Board of Directors or representative(s). 2. I understand that membership fees are non-refundable unless my membership is not approved. I consent to my Bonus Points being used for automatic payment of my Membership renewal fee. I consent to my Bonus Points being used for automatic payment of my Membership renewal fee I agree to abide by the Constitution and By-laws of the Club. I acknowledge that in some cases it is mandatory for the Club to send constitutional updates and notices to all members. On becoming a member of the Club, I will automatically be a part of its Priority Rewards program. I am aware that I can access the program’s terms and conditions, and can opt out of receiving marketing material at a later stage if I wish to by seeing Reception or calling 8833 0777 . I understand that this information above can be used by the Club for marketing purposes. The data collected will be handled sensitively, securely and in compliance with the Privacy Act requirements. A copy of the complete Privacy Policy can be accessed at parraleagues.com.au.Signature*Consent* I have read and understood the above*Captcha HiddenMark as completeNoYesHiddenMembership Number HiddenPhoto ID Type Drivers Licence Passport RMS ID HiddenPhoto ID Reference Number Total $ 0.00 Credit Card*Post Id
