Nepalese Recreational Club Inc.
Incorporated under the Associations Incorporation Act 2009
Application for Membership
I/we hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the Constitution and the Code of Conduct of the association for the time being in force.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Spouse, Partner & Children (Only for Family Membership)
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Membership Options
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Membership Fees
$
50
AUD
Membership Type
Family
Single
Student
Optional Contribution
$
Free
AUD
Contribution Type
Nil
Bronze
Silver
Gold
Platinum
Diamond
Credit Card | Debit MasterCard/Visa Debit
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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