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MEMBERSHIP APPLICATION

MeMBeRsHiP APPLicAtion - Baulkham Hills Sports Club

MeMBeRsHiP APPLicAtion - Baulkham Hills Sports Club

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Associated Venues<br />

Baulkham Hills Sports Club<br />

11 Renown Road Baulkham Hills NSW 2153<br />

Ph 9639 2100 Fax 02 9639 1100<br />

www.baulkhamhillssports.com<br />

Bankstown District<br />

Sports Club Limited<br />

ABN 88 000 243 916<br />

8 Greenfield Parade<br />

Bankstown NSW 2200<br />

Ph 02 9722 9888<br />

Fax 02 9722 9840<br />

www.bankstownsports.com<br />

Bankstown Sports Bowling<br />

and Recreational Club<br />

41 Northam Avenue Bankstown 2200<br />

Ph 02 9790 0176 Fax 02 9796 2445<br />

Dunc Gray Velodrome<br />

Carysfield Road Bass Hill NSW 2197<br />

Ph 02 9743 9889 Fax 02 9644 1966<br />

www.duncgrayvelodrome.com<br />

Handle Bar Tavern<br />

Carysfield Road Bass Hill NSW 2197<br />

Ph 02 9743 9889 Fax 02 9738 5088<br />

www.handlebartavern.com<br />

<strong>MEMBERSHIP</strong> <strong>APPLICATION</strong>


<strong>MEMBERSHIP</strong> <strong>APPLICATION</strong><br />

Mr / Mrs / Miss / Ms Surname<br />

Given Name/s<br />

! 1 YEAR $12 full / $10 pensioner/senior<br />

! 3 YEAR $30 full / $24 pensioner/senior<br />

Date of Birth<br />

Street Name & Number<br />

Suburb<br />

Postcode<br />

Postal Address (if different from residence)<br />

Suburb<br />

Postcode<br />

Phone Number<br />

Mobile<br />

Email<br />

Occupation Pensioner/Senior Yes / No Pension Ref No.<br />

Membership application must be presented in person with ID<br />

Office use only ! I.D sighted. Type<br />

Credential Comm. Recomm. Meeting date Badge no.<br />

Privacy Statement<br />

Bankstown Sports Club Ltd is subject to the provisions of the Privacy<br />

Act 1988 (Cth). The personal information provided by you on this<br />

form/application and attached documents will be used to process<br />

your membership application. Failure to provide all of the requested<br />

information may result in your application being rejected. You have a<br />

right to access and correct any of your personal information that the<br />

Club holds on you.<br />

The Club does not usually disclose your personal information to any<br />

other organisation or person unless there is a legal requirement to<br />

do so. The Club may disclose your information to third parties that<br />

provide services under contract to the Club. These contracts require<br />

the third party to keep your personal information confidential and<br />

secure.<br />

Your personal information, including information about you obtained<br />

as a result of you placing your membership card in a gaming or other<br />

club machine (not Automatic Teller Machines), may be used by the<br />

Club for marketing purposes to improve our services and to provide<br />

you with the latest information about those services and any new<br />

related services and promotions.<br />

I desire to become a member of the above Club and request that you<br />

enter my name in the Register of Members accordingly, and I agree<br />

to be bound by the Rules and By-Laws and Regulations of the Club<br />

from time to time in force. I declare that I am over 18 years of age.<br />

I agree to produce two written character references upon request.<br />

Signature of Applicant<br />

Date<br />

The Corporations Legislation Amendment (Simpler Regulatory<br />

System) Act 2007 provides new options for you to access our<br />

annual report each year.<br />

From 2008, you will have the advantage of being able to download<br />

the annual report from our website at www.bankstownsports.com<br />

Two versions of the annual report will be available, a concise and<br />

a full version. If you prefer a printed copy, we can post it to you on<br />

request. Please contact our reception staff and ask for an Annual<br />

Report Request Form.

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