ROBERTSON BOWLING CLUB LTD.

ACN: 001 068 168

CLUB MEMBERSHIP NOMINATION FORM

The applicant is required to complete all details listed below. Please print clearly.

I, (title) Mr. Mrs. Miss. Ms Other:____ Surname:__________________________

Other Given Names:________________________________________________

Of Full Residential Address:___________________________________________

Mailing Address:____________________________________________________

Phone (home):____________________  Mobile:_______________________ email address: __________________________________________________

Date Of Birth:___________________   Occupation:________________________

I am desirous of joining the Robertson Bowling Club LTD., subject to the constitution of the Royal New South Wales Bowling Assoc. (if applicable) and the Memorandum and Articles of Association, and/or the rules and By Laws of the Club.

I wish to become: A full Bowling Member  = $70 including GST

I wish to become: A Full Non Bowling Member  = $25 including GST

I wish to become: A Social Member  = $10 including GST

I wish to become: A Junior Member  = $10

** Please tick the membership you would like.

1.      Are you a bowling member of any other club? __________________

2.      If so which Club/s?________________________________________

3.      Have you ever been a member of any other Club/s? ______________

4.      If so which Club/s: ________________________________________

5.      Have you ever been suspended or asked to resign from a Club?______

6.      If so, name the Club/s:______________________________________

Signature of Applicant: ________________________________

Proposer’s Name:________________________ Signature________________________

Member Number: _____________

Seconder’s Name: ________________________ Signature: _______________________

Member Number: ______________

OFICE USE ONLY:

Receipt Number: ______ Amount Paid: _______ Date: _______

Membership Accepted: YES / NO. New Member Number: ___________

NOTE THIS FORM MUST BE FILLED OUT IN FULL, WITH ALL QUESTIONS ANSWERED. THE PROPOSER AND THE SECONDER MUST BE FULL MEMBERS TO NOMINATE A PERSON FOR MEMBERSHIP!

                                                PLEASE MAKE SURE YOUR WRITING IS LEGIBLE.