Club Membership Application

Name*

First NameLast Name

Contact Number*

Email*

example@example.com

Birth Date*

DayMonthYear

MaleFemale

Occupation

Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code

Postal Address

As AboveDifferent

Postal Address*

Street Address

Street Address Line 2

SuburbState / Province

Post Code

Do you wish to receive the Kandanga Country Club Newsletter

YesNo

Are you currently a member of another Bowls Club

YesNo

Which club are you a member of?

*If the Bowls Applicant is a member of another bowls club, they must be in possession of a clearance form from that club in accordance with the Constitution of *Bowls Queensland. Membership cannot be completed until a copy of the form is provided.

Memberships*

Club Membership {½ Year}½ YEAR - Receive all the benefits shown above, with voting rights

$24.00AUD

Club Membership {1 Year}1 YEAR - Receive all the benefits shown above, with voting rights

$48.00AUD

Club Adult Bowler Membership {½ Year}½ YEAR - Receive all the benefits shown al the website, and voting rights, you are covered by the insurances associated with the game of bowls. Bowls membership includes affiliation with Bowls Australia, Bowls Qld and the relevant district associations.

$86.00AUD

Membership	Quantity	Price
Male		$86.00AUD
Female		$81.00AUD

Club Adult Bowler Membership {1 Year} 1 YEAR - Receive all the benefits shown al the website, and voting rights, you are covered by the insurances associated with the game of bowls. Bowls membership includes affiliation with Bowls Australia, Bowls Qld and the relevant district associations.

$152.00AUD

Membership	Quantity	Price
Male		$152.00AUD
Female		$142.00AUD

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Date*

Date

Email: treasurer@kandangacc.com.au | Website: kandangacountryclub.com.au