Service and Affiliate Member - Website Sign Up Form

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Currently we only accept online applications for Service and Affiliate Members. For all other memberships, please contact your local RSL Sub-Branch.
Please note: The below online application is only for NEW RSL Victoria membership applications. If you are already a member and would like to either transfer to another Sub-Branch or pay your membership fees, please contact your local Sub-Branch.

To be eligible for Affiliate membership of RSL Victoria you must not be eligible for Service membership and:
- Be eighteen years of age or older
- Be related to a person (living or deceased) who is or was eligible to be a Service member of the RSL
If you have personally worked in one of the following roles for more than 6 months, you may also be eligible for Affiliate membership. Please contact the Members Services team on members@rslvic.com.au to discuss your application.
- State or Federal Police Force;
- Ambulance Service or Brigade;
- Fire Brigade or Fire Authority;
- State Emergency Service;
- Bronze Medallion member of a Surf Life Saving Club; or
- Corrections/Prisons Officer
Which Membership Type are you eligible for?*

ServiceAffiliate
Your personal details
Title*
Full name*

First NameMiddle NameLast Name
Email address*
example@example.com
Phone Number*
Gender*

MaleFemalePrefer not to disclose
Post nominals
Date of birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Emergency Contact *

First NameLast Name
Emergency Contact Number*
Have you been a member of an RSL Sub-Branch before in Victoria?*

YesNo
Have you been a member of an RSL outside of Victoria?*

Your service details
Service type*

Australian Defence ForceAllied Armed ForceOther
Service arm*

ArmyNavyAirforce
Service number*
Date enlisted*

DayMonthYear
Period of service - Starting on

DayMonthYear
Period of service - Ending on

DayMonthYear
Please leave blank if you are still serving
Your service details continued
Please add up to 6 service locations
Evidence of service*

We need to see a document that shows proof of service, such as a PDF or scanned document.
Cancelof
Relationship to family member who is eligible for Service membership*
Service arm of eligible family relation*

ArmyNavyAirforce
Evidence of family member service*

Evidence of eligible family member’s service. Please upload proof of your family member’s service record. This can include enrolment, service or discharge records.
Cancelof
Any additional information?
Declaration of agreement

I declare that: 1. the information provided is true and correct; 2. I agree to uphold the Constitution of the League and its By-Laws; 3. I understand that as a member of the RSL I will receive information and updates relating to RSL events, activities and offers from the RSL and its business partners
Full name of applicant

First NameLast Name
Today's date

DayMonthYear

My Products*

RSL Victoria Service Membership Product Image

RSL Victoria Service MembershipAnnual RSL Service Membership

$10.00AUD

RSL Victoria Affiliate Membership Product Image

RSL Victoria Affiliate Membership Annual RSL Affiliate Membership

$10.00AUD

RSL Victoria Service Membership (Current Serving) Product Image

RSL Victoria Service Membership (Current Serving)Free Membership for Current Serving ADF Members

$ FreeAUD

Total

$0.00AUD

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

Privacy statement

The personal information provided on this membership form will be used in accordance with the privacy policy adopted by the Victorian Branch of the Returned & Services League of Australia. This Policy is freely available and can be accessed via the Victorian Branch website at www.rslvic.com.au or upon request.
Should be Empty:

Sign Up

Your personal details

Your service details

Your service details continued

Declaration of agreement