Membership / Application

Become a new member of the New Brighton Club

Please fill in the form below and we will process your application and get back to you as soon as possible. Alternatively, you can call into the club and fill out a membership form at the office or the bar.

New Membership Application Form
Salutation: Mr Mrs Miss Ms
First Names:
Surname:
Address:
 
Contact Telephone:
Mobile:
Email:
Occupation:
Date of Birth:
Are you, or have you ever been known by another name?: Yes No
If YES, please write your name if full:
Date of Application:
Once the fee has been deposited into our account, would you like your membership posted or will you pick it up?: Posted Pick Up
Bank Details: Westpac - 03 0814 000818300
By clicking "Submit" below, I agree that the above mentioned details are correct and my own and as per the Terms and Conditions of membership available here.