Greenmount Beach Surf Club Membership Application Form

Online Membership Application Form

Apply to become a member. Please complete all relevant sections below.
Personal Information

Please provide your basic personal details.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

DayMonthYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Choose your membership
PENSIONER CONCESSION CARD HOLDERS:

Please take a picture and upload current valid pension card or alternatively show to bar staff when you pick up
Pick up in venue or Post out
POST OUT NOTE: Cards are only posted out to addresses outside a 20km radius of our club.
Are you a current financial member renewing? Current valid card number?
Note, if your membership is expired more than 3 months, you will receive a new membership number. Due to new law and policies, we do not keep member details longer than 3 months.
Payment & Fees

Please head to our payment link to confirm your membership.
How did you hear about the organization?
Agreements & Signature

Please review and acknowledge the following agreements.
The Tweed Heads & Coolangatta Supporters Club Inc is subject to the provisions of the Privacy Act 1988, the personal information provided by you on this application and any attached documents will be used to process your membership application. Failure to provide all of the requested information may result in your application being delayed or rejected. The Club does not provide your personal information to any other organisation or person unless required by law to do so. The club may disclose your information to third parties that provide services under contract to the club; these contracts require the third party to keep your personal information confidential and secure. Your personal information, including information about you obtained as a result of using your membership card in a club machine (not ATM’s), may be used by the club for marketing purposes to improve your services and to provide you with the latest information about those services and any new services and promotions.
Signature (Type or Draw)
Date of Application

DayMonthYear
Date
Should be Empty:

Online Membership Application Form

Personal Information

Payment & Fees

Agreements & Signature