Social Membership Application Please fill out the below form to apply for your RSL Social 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 Social Member? No Yes Verify Qualification Details I claim qualification in one of the following categories (select one only) SpouseChildStep-ChildSon-in-lawDaughter-in-lawParentSister, Brother or CousinGrandchildNephew, Niece, Aunt or UncleBrother-in-lawSister-in-lawPersons awarded the Certificate of Merit or a certificate of Appreciation from the RSLPoliceAmbulanceFire BrigadeState Emergency Service 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 a Social Member's badge and I understand that the bade is not transferable and will be given up should I cease to be a financial Social Member of an RSL Sub-branch. I hereby apply for Social 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 Social Membership. Yes, I agree No, I do not want a membership Price of membership: $25 (paid annually) [paypalsubmit id:PaywithPayPal email:email@example.com currency:AUD itemamount:membership-price itemname:your-name quantity:quantity return_url:https://prahranrsl.com.au/membership-success/ cancel_url:https://prahranrsl.com.au/payment-not-successful/ "Pay with PayPal"] 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.