Renew Membership Application for Associate Membership Membership expires on December 31st each year. Any member unfinancial after January 31st will be removed from the membership database and is required to re-apply for membership. For sub-branch and/or mortality membership renewals, please visit club reception. MEMBERSHIP RENEWAL OR JOINING FEES As a rule, membership renewal and joining fees are non-refundable. However, if you contact us within 3 days of making an online payment with a request for a refund, including the reasons for this request, it will be considered. Please retain your proof of purchase and include a copy, along with your refund request.Membership applying for:*1 Year Membership (exp Dec 31 2021) $63 Year Membership (exp Dec 31 2023) $12Membership DetailsMembership Number*Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email* Change of DetailsChange of Address My Address has changed Address Street Address Address Line 2 Suburb State Post Code Change of Postal Address My postal address has changed Postal Address Street Address Address Line 2 Suburb State Post Code Change of contact information My contact information has changed Phone (H)MobileEmergency Contact First Last Emergency Contact PhoneDeclarationBy completing the renewal application - I choose to re-apply for membership at Penshurst RSL Club I agree to pay the membership fee of $6 until December 31st, 2021 or $12 until December 31st, 2023 I am over the age of eighteen years I have provided information that is true and correct I agree I am bound by, and will comply with, the club's constitution, by-laws and rules as amended from time to time PrivacyI consent to the collection, use and disclosure of my personal information in accordance with the club's privacy policy. I understand that the primary use for the collection of this information is so that Penshurst RSL can communicate with me. I acknowledge that Penshurst RSL club’s privacy policy is available at www.penshurstrsl.com.au on request at the club or by emailing info@penshurstrsl.com.au* I consent to the collection, use and disclosure of my personal information in accordance with the club's privacy policy. I understand that the primary use for the collection of this information is so that Penshurst RSL can communicate with me. I acknowledge that Penshurst RSL club’s privacy policy is available at www.penshurstrsl.com.au on request at the club or by emailing info@penshurstrsl.com.au Communication Preferences I wish to receive promotional offers, the club magazine, and general information from Penshurst RSL club. I wish to receive gaming machine specific promotional information. CAPTCHA