samps - Easts Bondi Junction

Activation Form - New

Membership Type(Required)

Roosters Membership Number(Required)

Write "new" if you haven't received your membership number

Easts Membership Number(Required)

Title(Required)

First Name(Required)

Last Name(Required)

Date of Birth(Required)

Mobile(Required)

Email Address(Required)

Street Address(Required)

Suburb(Required)

State/Territory(Required)

Postcode(Required)

Phone Number (Work)(Required)

Country of Origin(Required)

Occupation(Required)

NSW Government requires members to provide this information

Declaration

I hereby declare that I am 18 years or over, have read and fully understand the Privacy Policy and agree to abide by the Constitution and By-Laws of Eastern Suburbs Leagues Club. In the interest of helping the environment I consent to receiving Easts Group communications including important Club notifications via email. NOTE: Once this form is submitted, our team will process your Membership application. This can take up to 1 business day to activate. You must visit the Club’s reception desk and present current identification (Driver’s Licence, Passport, NSW Photo or Concession card) to complete your membership application.

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