APPLICATION FOR MEMBERSHIP
The Board of Management
Kyneton Bowling Club Inc.
PO Box 317
Kyneton Victoria 3444
I
_____________________________________________________________________________________________________________________
(Full Name)
Payment required when
Hereby apply for
Bowling Membership ($130)
Junior ($20.00)
General Membership ($20.00)
handing form into staff.
Card will be issued at time
of payment.
Dual Member (60.00)
Of the Kyneton Bowling Club Inc. and submit the following information: PLEASE PRINT
Given Name: …………………………………
Family Name ……………………………………………………….
Postal Address: ……………………………… Suburb/Town: …………………………………………………….
……………………………………………………… State: ………………..P/Code ……………...
Hme. Phone: ………………………………………………………..Mbl: ………………………………………………
Email: ………………………………………………………………….D.O.B. ……………………………
If elected to membership I agree to be bound by the rules of the club
Signature of Applicant…………………………………………….Date:………………………………………………
Proposed by: ………………………………………………………. Member. No……………………………………
Seconded by: ……………………………………………………….. Member. No. ……………………………........
The Board of Management of the Kyneton Bowling Club is not bound to accept the
application for membership by any person.
Please note: Kyneton Bowling Club’s membership calendar runs from 1/07 to 30/06
annually.
Tick this box if you do not wish to receive gaming, wagering and Keno offers and
information via mail this includes the ClubMix member offers.
Tick this box if you do not wish to be contacted via Text, Phone or Email.
Office Use Only
Accepted
YES
NO
Paid
Card Number
YES
NO