Online Membership Application

Online Membership Application Form

"*" indicates required fields

Gender*

Title

Name*

First Last

As shown on ID.

Date of Birth*

Address*

Street Address Suburb State Postcode Country

Primary Contact Number*

Mobile Number

Email Address*

Enter Email Confirm Email

ID Reference and Number*

E.G. Valid Drivers License, Passport or Proof of Age card

ID Expiry Date*

Select Membership Period*

1 Year Membership

5 Year Membership

Total

Credit Card

Name

This field is for validation purposes and should be left unchanged.

247 Woodstock Avenue Dharruk NSW 2770

PO BOX 175 Plumpton, NSW 2761

Monday: 10am – 12am

Tuesday: 10am – 12am

Wednesday: 10am – 12am

Thursday: 10am – 12am

Friday: 10am – 1am

Saturday: 10am – 1am

Sunday: 10am – 12am