Service Membership (2012)

Maroochy RSL membership

Purchase a membership to Maroochy RSL and start receiving your benefits straight away.

Please note that all our membership cards have photo ID and must be collected from our reception team.

Please use the form below to submit your membership and you will receive an order confirmation via email. Please present this, along with your photo identification to the reception team to finalise your membership.

2012 membership - $5.50

5 year membership - $16.50

Membership Number:

If you are already a member please include your existing membership number

Identification: *

Please select the identification type

Licence/18+ Card/Passport Number: *

Please include a valid drivers licence, 18+ card or passport number

Birth Date: *

Please enter your birth date in DD/MM/YYYY format.

Service Number/Badge Number: *

Please present your service identification to our reception team when collecting your membership card.

Branch of Service/Unit: *

Please include your Branch of Service (Army, Navy, AirForce) and your Unit.

Rank: *

Please include your rank.

Agreement: *

I agree

I hereby apply for membership of Maroochy RSL & Ex-Services Club Inc. I am over the age of 18 years and hereby agree to abide by the Constitution Rules & By-Laws of the Club at all times.

Promotional offers:

I do not wish to receive promotional offers.

Check this box if you do not wish to receive promotional information or special offers.

Title: *

Please select your title

First Name: *

Please enter your first name

Surname: *

Please enter your surname

Street Address: *

Please enter your street address

Suburb: *

Please enter your suburb

State: *

Please enter your state of residence

Postal code: *

Please enter your postal code

Country: *

Please enter your country of residence

Phone number: *

What code is in the image?: *

Enter the characters shown in the image.

Service Membership (2012)

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