Membership Application

STEP 2
CHOOSE YOUR MEMBERSHIP TYPE
Select your membership type*
- Club Member
- Service Member
- Pensioner (Aged) Club Member
- Pensioner Service Member
Club Member & Service member
- 5 years
- 1 year
Choose your membership
Pensioner (Aged) Club Member & Pensioner Service Member
- 5 years
- 1 year
Service Number

Identification required for a person who is serving, or has served, in the armed forces or reserve forces
Centrelink Pension Card Number

Pensioner card must be shown as identification when picking up your membership card. Seniors card not accepted
Membership Fee
$ 0.00

STEP 4
PAYMENT DETAILS
Credit Card*
Please fill in your credit card details below:

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Declaration*
- I Agree
I am over the age of 18 years and wish to become a Member of the Kirribilli Club and request that you enter my name on the Registrar of Members accordingly. I agree to be bound by the Club’s Constitution and any rules, regulations or by-laws and Government regulations that are in force.

I understand that Membership is not transferable or refundable. I understand that Membership is per Calendar Year.

Perpetual Membership exists for the life of the Member or until written resignation of Membership is received.

Membership cards will not be posted and must be collected from reception. You must show relevant identification including any Pension or Service member cards.
Date*
DD slash MM slash YYYY
Privacy Statement
The Club is subject to the provisions of the Privacy Act 1988. The personal information provided by you on this form will be used to process your Membership Application. Failure to provide all the requested information may result in your application being rejected. You have a right to access and amend any of your personal information that the Club holds on record.

The Club does not disclose your personal 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 personal information confidential and secure.

Your personal information, including information about you obtained as a result of you placing your Membership card in gaming or other Club machines (not ATMs), may be used by the Club for marketing purposes to improve our services and to provide you with the latest information about our services, new promotions and upcoming events.

The Club’s complete privacy policy is available from Reception upon request.

Should you have any concerns regarding privacy issues, please contact the Club’s Privacy Officer.

Member Information
If you do not wish to receive information about services and promotions, the Club, on request, will remove your name from the mailing lists.

Player Activity Statements are available upon request. The Club’s Annual Report is published on the Club’s website. If you require a printed copy to be sent to your mailing address, please advise the Club.
Name
This field is for validation purposes and should be left unchanged.

As easy as 1-2-3

Online Membership Renewal

STEP 1

STEP 2

STEP 3

STEP 4

Major Calendar Events

Kirribilli Comedy Club

Christmas in July