CLC Membership Form

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Fields marked with an * are required.
Name *

Prefix First Name Last Name
Birth Date *

Day Month Year
Mobile *
Home Phone
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is your postal address the same as above? *

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Postal Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Comments
Membership Type

PLEASE NOTE, membership does not include tickets to any North Queensland Toyota Cowboys games.
For membership to the North Queensland Toyota Cowboys, including season tickets, visit https://www.cowboys.com.au/membership
Please select Membership Type below: *
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1 Year General Membership
$ 11.00 AUD

1 Year Aged 55 and Over General Membership
$ 6.60 AUD

1 Year North Queensland Cowboys Ultimate Duo Membership
$ 85.00 AUD

1 Year Defence Personnel Membership
$ 2.00 AUD

1 Year JCU or CQU Student Membership
$ 2.00 AUD

5 Year Membership
$ 49.50 AUD

5 Year Membership Over 55
$ 29.70 AUD

Total

$ 0.00 AUD
Please upload your valid Student Id *

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Please upload your valid Defence Id *

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How would you like to receive your membership card? *
IMPORTANT: You will be required to present valid photo ID to collect your membership card at the Club.
All new or expired members are required to submit a copy of a current Drivers License, 18+ card, Victorian Keypass or Passport. * *

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Cowboys Leagues Club Newsletter

Yes, I would like to receive weekly emails from the Cowboys Leagues Club.
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