Membership Application Form

Become a Member of Husky Sports for Exclusive Benefits and to Support the Community

Husky Sports Membership Application

Name(Required)

Prefix First Last

Date of Birth(Required)

Membership Type(Required)

Residential Address(Required)

Street Address Town / City Postal Code

Postal Address

Street Address Town / City Postal Code

Occupation

Phone (Business)

Phone (Private)(Required)

Receive SMS Messages:(Required)

Yes

No

Email Address(Required)

Receive Emails:(Required)

Yes

No

Have you ever been expelled, suspended or asked to resign from any club?(Required)

Yes

No

Do you wish to play bowls?(Required)

Yes

No

Membership Type	Fees
Social	FREE
Social Dancer:	$2
Bowling Member:	$96
Lady Bowler:	$94
Social Sports:	$30

Signature

Declaration(Required)

I, the above named, do fully understand that I cannot be elected as a member of the Club until the Board of Directors Meeting following the expiration of fourteen days from the date hereon. If duly elected to the Club, I hereby agree to abide by the Constitution of the Huskisson Bowling Club Ltd (available from office on request).

Membership cards will be issued on verification of identity and any monies due.

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