Membership Renewal

MEMBERSHIP DETAILS

Membership Number*

Membership Type*

PERSONAL DETAILS

Date of Birth*

Occupation*

Language Spoken

CONTACT DETAILS

Home Phone

Mobile*

Email*

RESIDENTIAL ADDRESS

MAILING ADDRESS

COMMUNICATIONS

PRIVACY STATEMENT

I hereby agree to abide by the Constitution and Club By-Laws of Western Suburbs League Club (Campbelltown) Ltd and its associated Clubs. Personal information provided in this form will be used to process your membership application.

You have the right to access and correct any information.

The Club will not disclose your personal information to third parties without your written consent, or unless required by law. . By submitting this application I acknowledge that I am consenting to receive marketing materials from the Club.

Membership Number:
Membership Period:
Full Name:
E-Mail Address:

MEMBERSHIP

RENEWAL