Membership Form

Rockingham Bridge Club Inc

invites your

APPLICATION FOR MEMBERSHIP

First Name

Last Name

Preferred name for Badge (if different to above)

Date of Birth

Address

Address Line 1

Address Line 2

City/Suburb

Post Code

Telephone Number

Mobile Number

ABF status (choose correct option)

Never been an ABF member - please obtain an ABF no. for me

Existing ABF member - another club remains my Home Club

Existing ABF member - please transfer me from my existing Home Club

Inactive ABF member - please reactivate me with Rockingham as my Home Club

ABF Number

Home Club

Your annual membership fee will be $50, this includes affiliation fees to ABF and BAWA and is valid until 30th September.

Your annual membership fee will be $20 and is valid until 30th September.

Proposer's First Name

Proposer's Last Name