Randwick District Rugby Union Football Club Inc
Membership Form 2017

www.randwickrugby.com.au


Membership Classifications


Honorary Life Member ( ) Qualification as per By-law 6
Playing Member ( ) $tbc Must be a current player
Ordinary Member ( ) $25 Past player, Councillor, other official or volunteer
Associate Member ( ) $25 Former player or official (any club); supporter of rugby
Tick in the parentheses beside each classification for which you are a Member


Personal Details

First name_____________Middle name(s)___________ Surname_________________

DOB_____________ Occupation________________________

Address______________________________________
State__________Postcode___________
Phone h.________________mob.__________________bus.__________________
Email_________________________________________________________________
Signed by___________________________________________________________

Reports: Please note Annual Reports can be accessed via Club website

Payment Details Membership: 1.10.2016 – 30.9.2017

Cash / Cheques Payable to: RDRUFC – P O Box 442 Coogee NSW 2034 or email to randwickrugby@gmail.com

Credit Card M’card / Visa Expiry Date _ _ / _ _
_ _ _ _/_ _ _ _/_ _ _ _/_ _ _ _

Total: $

 

If you are a former player or Club Official please list the years and teams in which you played (with position) or officiated (and role). Thank you

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