Membership Form - Matamata RSA

Name*

First Last

Address*

Street Address City ZIP / Postal Code

Phone*

Mobile

Email*

Enter Email Confirm Email

Date of Birth*

Employer (use retired etc if not working)*

What other clubs do you belong to?*

Has your membership ever been declined, suspended or revoked from any Club?*

Yes
No

Do you know any current RSA Matamata club members?*

Yes
No

If YES, name 2 Please:

Name two:

It is essential that ALL members remember their obligations to the others. Firstly; DRESS - there is a certain standard of dress which MUST be observed Secondly; membership cards MUST be carried. Thirdly; your subscription must be paid by 1st April otherwise you can be automatically expelled. Fourthly; it is most important as it affects our Charter, that VISITORS MUST BE SIGNED IN - this includes wives and other friends and they must not be regular attenders. NOTE: All applicants must be approved at a meeting of the Executive Committee.

I hereby accept the aforesaid nomination and I agree that I have READ THE ABOVE and agree to accept and abide by the Rules of the Club. Payment of the full subscription fee must be paid upon application. Until such time as we organise online payment, please pop into the Club as soon as possible to pay.

Today's Date*

Write Your Full Name*

You will need to come into the Matamata RSA to confirm your identity.

Are you a returned Serviceman or in Service

Yes
No

Are you

Returned
Service

Service Number

Unit

Rank

Regt No

Are you a British Subject?

Yes
No

Untitled

Army
Navy
Airforce
Merchant Navy
Police

Where and When

Decorations Held

War Pension No

Winter Membership Options

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MATAMATA MEMORIAL R.S.A. INCORPORATED APPLICATION FOR MEMBERSHIP