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First Name*

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Alternate Email1

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Post Code*

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Occupation

Have you ever been suspended or expelled from any club? *

Yes

If yes, which club?

Social/Country members cannot live in Kempsey or Nambucca Shires or vote or stand for office at an AGM. Please tick the box to agree. *

Notice

Please allow 48 hours for processing this application.

You MUST visit the Club to present their IDs and collect their new member cards.

*REMINDER - Social/Country members cannot reside In Kempsey or Nambucca Shires; or vote or stand for office at an AGM.

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Stuarts Point Workers' Recreation & Bowls Club

Member Registration

Member Details

Residential Address

Mailing Address

Other information

Notice