Membership Application Form
I wish to apply for the following grade of membership of Sunshine Coast Rowing Club(Please refer to the attached “Scale of Fees” for costs, for which you will be invoiced when your Application is received. Please Cross one box for Grade of Membership and one box for preferred method of payment.Your completed “EziDebit” forms must be submitted with this Application, if selected. Please note that all memberships expire on 31st December each year):
Email address *
Membership Type *
Name *
Home Address
Mobile Phone *
Date of Birth *
MM
/
DD
/
YYYY
Occupation
Rowing Experience
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Address
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy