Please use the form below to join the club. This online form will help speed up the process. We will contact you soon with regards to your membership card and other further info and advantages of being a Southside Member.
Membership Type (*)
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All memberships are per calendar year currently to the 30th June 2010
Title
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First Name
Please type your first name here
Surname (*)
Please typw your surname here
Address (*)
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Suburb (*)
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Postcode (*)
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Phone (*)
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Mobile (*)
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e-Mail (*)
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Date of Birth (dd/mm/yyyy) (*)
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Please type in your DOB here in the following format (dd/mm/yyyy)
Occupation
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I am a ...
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Where did you hear about this club?
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Other
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Which local newspaper are you most likely to read?
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Other
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Are you a member of another Club?
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If yes, which club?
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Which area/s of the club are you most likely to use?
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Which radio station are you most likely to listen to? (maximum of 2 responses please)
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Other
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What kind of food do you mostly prefer?
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What is your prefered major prize?
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What is your preferred minor prize?
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PRIVACY NOTICE
By completing this membership application form I acknowledge the following:
1. Southside Sport& Community Club Inc. (SSCC) collects the personal information about me included on this form. I understand that if this personal information is not provided it may result in SSCC being unable to process or accept this membership application.
2. SSCC collects my personal information to inform me of its products and services, to provide discounts and special offers, to conduct research and to further develop its products and services.
3. SSCC will take reasonable steps to protect my personal information that they hold about me from misuse and loss and from unauthorized access, modification and disclosure.
4. I understand that SSCC, at times, will disclose personal information to their service providers including Australia Post and mail houses in a manner and for purposes that conform to the Privacy Act.
5. I understand I may call (07) 3219 1103 to access or correct my personal information, to stop SSCC sending me information about their products and services, seek clarification on this privacy notice, or if I have a complaint.
DECLARATION OF APPLICANT
I hereby apply for membership to clubs operated by Southside Sport & Community Club Inc. I declare that I am over the age of 18 years, and if accepted, I agree to abide by the Constitution and By-Laws and all other rules and direction that may be, from time to time, imposed by Club Management of clubs operated by Southside Sport & Community Club Inc. I acknowledge that my membership is not final until my application is approved by the Board of Directors. Should my application be rejected or terminated I will forfeit my membership card and all entitlements including those that I have accrued prior to my membership being rejected or terminated.
Name
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Date
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