Currumbin RSL Dawn Service Registration and Ballot Form
Due to improved security for the 2018 ANZAC Dawn Service members and their family wishing to be part of the seated area are required to register their details. Please take the time to complete the fields below. Please note priority will be given to Returned Service Men and Women and members of the Currumbin RSL Sub Branch.
Email address *
Given Name *
Your answer
Surname *
Your answer
Membership Number (preferred) OR Drivers License Number (or other form of photo ID)
Your answer
Age
Your answer
Street Address (include street number & street name) *
Your answer
Street Address (Suburb) *
Your answer
Street Address (Postcode) *
Your answer
State *
Mobile Number *
Your answer
Home Phone Number
Your answer
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