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FOR MEMBERSHIP
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Personal Details
Name
*
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
First Name
Surname
Date of Birth
*
DD slash MM slash YYYY
Address
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Street Address
City
State
Zip Code
Mobile
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Home Phone
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Email
*
Occupation
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Are you Registered with the RNSWBA or WBNSW?
Yes
No
if yes, state of Rego #
if yes, have you organised a Transfer form?
Are you a member of another Club?
Yes
No
if so, state Club or Clubs:
Have you ever been suspended, expelled or asked to resign from any club?
Yes
No
if so, state Club or Clubs:
Are you a member of the following
Blubbers
Travelling Bowlers
Flexi Bowlers
Membership Categories
RNSWBA Number
WBNSW Number
Membership Type
*
Social Membership ($11)
Consent
*
I agree to the privacy policy.
PRIVACY STATEMENT:
Stockton Bowling Club Co-Operative Ltd is subject to the provisions of the Privacy Act 1988. The
personal information provided by you on this application will be used to process your membership
application. Failure to provide all of the requested information may result in your application being
rejected. You have a right to access and correcct any of your personal information that the Club
holds about you.
The Club does not usually disclose your information to any other organisation or person unless there
is a legal requirement 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 your placing
your membership card in gaming or other club machines (not ATM’s), may be used by the Club for
marketing purposes to improve our service and provide you with the latest information about those
services, any new related services and promotions.
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Do you wish to receive promotional material including offers relating to promotions and special events which may include gaming materials?
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Signature
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Date
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