Affiliate Membership Application

Please fill in each field below to apply for your membership.

Your Name

Your Address

Your Post Code

Your Phone Number

Your Date of Birth (Day/Month/Year)

Your Email Address

Are you a previous Affiliate Member?

Yes

Verify Qualification Details

I claim qualification in one of the following categories (select one only)

Full name of person who is a Service or Life Member or Life Member (Include Sub-branch name) or a person who at the time of death was eligible in respect of the above claim (provide service details)

Sub-branch (if applicable)

Service details (if applicable)

HQ Membership Number (if applicable)

TO THE STATE SECRETARY

Application is hereby made for the issue of an Affiliate Member's badge and I understand that the bade is not transferable and will be given up should I cease to be a financial Affiliate Member of an Rsl Sub-branch.

 

I hereby apply for Affiliate membership of the Prahran Sub-Brach and duly declare that I will abide by the Rules of the said Sub-Branch in this respect. By ticking the 'Yes' box below I acknowledge this represents my consent to apply for the Affiliate Membership.

 

 

Price of membership: $25 (paid annually)

 

You can pay using your PayPal account or via a credit card.

 

Privacy statement
We will not use any of the information on this membership form without your specific permission in writing, other than to record you as a member of the League and we will not pass that information to anyone outside of the League.