Membership Renewal Form "*" indicates required fields Step 1 of 2 50% PERSONAL INFORMATION STEP 1 of 2 Membership Number*Type of Membership5 Years -- $20.001 Year Pensioner -- $ 2.201 Year -- $15.003 Years -- $18.00TitleTitleMrMrsMsMissFirst Name*Surname*Date* DD slash MM slash YYYY Street AddressSuburbPostcodeState/TerritoryMobile PhoneEmail Address* Occupation*I consent to receiving gaming promotion communications Yes No Keep me updated with information on club promotions, news and special offers Yes No DECLARATIONS & CONSENT STEP 2 of 2 Please read the below: I agree to abide by the Constitution and By-laws of the Club 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 02 8833 0777. I understand this information entered into the form can be used by Parramatta Leagues Club for marketing purposes. The data collected will be handled sensitively, securely and in compliance with the Privacy Act requirements. At any time, I will be able to opt out of marketing communications. I acknowledge that in some cases it is mandatory for the Club to send constitutional updates and notices to all Members.Consent - Have read & understood the above* I have read and understood the above*Consent - Not expired* I declare that my current Membership is not expired.*(If your Membership has already expired please visit RECEPTION to renew your Membership)Message (Optional)This field is hidden when viewing the formMark as completeNoYesCredit Card* Total CAPTCHA
