Membership application form



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Mayfield West Bowling Club Co Op Limited

4 NORRIS AVENUE MAYFIELD WEST NSW 2304

PH: (02) 49683202 FAX: (02) 49600733 EMAIL: maywestbowlingclub@bigpond.com

ABN: 1200-400-2774

MEMBERSHIP APPLICATION FORM

I (Name in Full) _______________________________________________________________________

(BLCK LETTERS)



Of (Full Address) ______________________________________________________________________

(BLOCK LETTERS)



Suburb: ___________________________________________Postcode: __________________________

Drivers Licence No: _________________________________ Home Pone: ________________________

Mobile Phone: _______________________________ Email: _____________________________

Date of Birth: ______________________________________ Occupation: _________________________

I wish to become a Member of Mayfield West Bowling Club Co-operative Ltd. I understand that as a

Member I will be subject to the rules and by laws of the Mayfield West Bowling Club Co-operative Ltd and

the rules and by laws of the Royal N.S.W. Bowling Association.



**FULL MEMBER FEES TO BE PAID ON THE APPROVAL OF THE BOARD OF DIRECTORS**

Please Tick Box



Full Bowling Member RNSWBA Registration No: ______________________
Mayfield West Women’s Bowling Club Full Member.



Social Member – Complete Application Form answering all questions correctly, take to the Main Bar with PHOTO ID pay the $5 fee to our Bar Staff and receive your receipt of Membership.

** The Following Information is required**

Are you a Member of a Bowling Club? ____________________________________________________

Have you ever been a Member of any Club (Bowling Club or Otherwise)? ________________________

If so, State Club or Clubs _______________________________________________________________

Do you intend to play bowls? ___________________________________

Have you ever been suspended, expelled or asked to resign from any Club (Bowling or Otherwise) ?

If so, State Club or Clubs _______________________________________________________________

Signature of Applicant: _______________________________

Name of Proposer: ______________________ Signature of Proposer: ___________________________

Period of Acquaintance: _________________

Name of Seconder: ______________________ Signature of Proposer: __________________________

Period of Acquaintance: __________________ DATE: _________/__________/___________________
OFFICE USE ONLY

Clearance Certificate where required state if sighted: __________________

Membership: ________ Accepted (Yes or No): _______ Class: ______________ Date: _________________

Registration RNSWBA: _________ Mayfield West Bowling Club Membership No: ________



Membership Rejected, Reasons: ________________________________________________

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