SUSC New Membership Form

SUSC Membership Form

To apply for membership please complete all questions
Applicant's Name:*
Full Name
Date of Birth:*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
Driver's License*
Expiry Date*

MonthDayYear
Date
PLAYER REWARDS (GAMING MACHINE) GOVERNMENT REQUIREMENTS
I agree to receive my Player Activity Statement in accordance with Legislation*

Via EmailVia MailVia Venue
1. I hereby apply to be admitted as a member of the Sunbury United Sporting Limited.

2. I am over the age of 18 years.

3. I agree to pay all charges required and will abide by Club rules & its Constitution.

4. An appointment may be required to meet with the Board during this application
5. I wish to receive communications including promotional materials, third party offers, and offers that include alcohol or gaming, including the Club’s Newletter & Announcements.*

YesNo
Signature*

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My Products*
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Social/Affiliate/Bronze Membership
$ FreeAUD



Silver Membership
$35.00AUD



Gold Membership
$100.00AUD



Platinum Membership
$300.00AUD



Total

$0.00AUD
Pensioner must be 65 years old or over and must hold & present a Centrelink Pension Card for 50% discount on membership. Change from standard to pensioer to receive 50% discount.
Member Conduct Statement

We are committed to providing a safe, respectful and welcomeing environment for all Patrons, Members and Staff.

Any form of misconduct - including aggressive behaviour, harrassment, intimidation, verbal abuse, bullying or actions that disrupt the comfort or safety of others - will not be tolerated.

Members are reminded that:
- Respectful behaviour is expected at all times within our premises.
- Aggression toward patrons or staff is strictly prohibited and will result in immediate action.
- Staff have the authority to intervene, issue warnings, or ask individuals to leave or notify the Police if behaviour becomes inappropriate.
- Serious or repeated incidents may lead to suspension or termination of membership in accordance to Clause 19. of the Constitution of Sunbury United Sporting Club Limited.
Our goal is to ensure a positive, safe experience for everyone. We appreciate your co-operation and understanding in upholding these standards.

I have read and understood the above Member Conduct Statement.

Must be signed below for Membership Application to proceed.
Applicant's Name:*
Full Name
Signature*

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*Membership Period Memberships are valid for a calendar year. Renewals due annually by 31st Jan. Members can Opt out of the program at any time by notifying the club in writing or sending an email to operations@sunburyunited.com.au. Notice to opt out will be actioned within a week of receiving notice. All benefits and points will forfeit on notice to opt out.

*Disclaimer The Board have 30 days to decline a membership, full refund will be returned to the applicant.
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SUSC Membership Form

PLAYER REWARDS (GAMING MACHINE) GOVERNMENT REQUIREMENTS