Social Member Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
Please enter a valid phone number.
Email
example@example.com
How would you like to receive your membership pack.
Please Select
Pick up at club
Us contact you to arrange postage
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Social Membership
1 year social membership - Associates Rugby Club .
$
110.00
AUD
one-time payment
Social Membership Annual Subscription
Annual subscription as a social member of Associates Rugby Club.
$
110.00
AUD
for the
first payment
then,
$
110.00
AUD
for each
year
Club Benefactor
$
20.00
AUD
for each
month
Credit Card
Submit
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