5 Year Renewal Application CommentsThis field is for validation purposes and should be left unchanged.Your Current Membership DetailsPrefix(Required)Mr.Mrs.Ms.Name(Required) First Last Current Membership Number(Required)Please enter a number from 1 to 999999.Has your address changed?Changed Address No Yes Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Consent I am over 18(Required) I hereby certify that I am over eighteen (18) years of age. I will faithfully observe all rules and by-laws of the Club. I understand that from time to time, Redcliffe Leagues Club will communicate with me using information provided on this membership application form and from member loyalty systems, as per the Club’s Privacy Policy. I understand that I can opt out of communications at any time by informing reception staff.(Required)Consent to Present ID for Collection(Required) I understand that I will need to collect my membership card from the Reception of the Redcliffe Leagues Club and that I will need to present valid photographic identification.(Required)
