731 Lawrence Hargrave DriveColedale NSW 2515

(02) 4267 1873

coledalersl.com.aufacebook.com/coledalerslclub

Join today and you will have access to:

• Membership discounts• Birthday rewards during

your birth month• Earning and spending

bonus points• Members only promotions

and heaps more! MEMBERSHIP FORM

Title: _____________________________________________________

First Name:_________________________ Surname:_____________________________

Date of Birth:______________________________________________________________

Residential Address: _______________________________________________________

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Postal Address: ____________________________________________________________

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I would like to opt in to receive information about gaming promotions: Yes No

I hereby apply to become a member of the Coledale RSL Club Limited and if accepted I agree to be bound by the memorandum and articles of association and any rules and regulations of the club. I acknowledge that I will receive communication electronically from the Club including but not limited to AGM and renewal notices and other marketing.

Signature:_______________________________ Date: ____________________________

Office Use OnlyMembership Number: ___________________________________________________________________ID Number: ____________________________________________________________________________Date: _______________________________ Receipt Number: ___________________________________Directors Meeting Date: __________________________________________________________________Date Letter Sent: ___________________________________________________________________

The Coledale RSL collects information that is available to you in the form of a Player Activity Statement. This is made available to you on request. Think about your choices. Call GAMBLING HELP 1800 858 858 www.gamblinghelp.nsw.gov.au

1 Year $4 3 Year $10Pensioner

1 Year $5 3 Year $12Social