Become a Member

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Please complete the form below to renew or apply for a new membership.

Type of member:	New member Renewing member
Membership (inc GST)	1 year $6.50 Sub Branch (includes 1 year club membership) $21.00
Title:
First Name:
Surname:
Date of Birth:
Address:
Suburb:
Postcode:
Home Phone:
Mobile:
Email Address:
Validation Code:	Please enter the code exactly as it appears.
	By submitting this form I hereby abide by the objects and ideals of the Southport RSL Memorial Club Inc. * Membership application will be processed once you come in and produce photo ID along with payment to Southport RSL Inc. Thank you for Joining !!!