SA Club Application for Membership

MEMBERSHIP FEE $ 50.00 (per annum 1 July to 30 June) plus Joining Fee $20.00
Title
Surname*
First Name(s)*
Date of Birth*

Day
Month
Year
Partner's Name
Business Name
Address*
Street Address Suburb State Post Code Country
Is your Postal address different from the address above?*
- No
- Yes
Postal Address
Street Address Suburb State Post Code Country
Phone
Mobile
Fax
Email
I hereby apply for membership of The South Australian club –Social branch of S A B D A S A and the CTA of South Australia, subject to the Rules and By-Laws of the Association and The South Australian Club.
I declare that I am:
1. A resident of South Australia and 18 years of age or older
Your Occupation
Name of Employer
Address of Employer
Street Address Suburb State Post Code Country
How many years have you been employed by them?
Declaration*
- I declare that the above information is correct and that it is given as a basis for my membership of The South Australian Club, SABDA SA and The Commercial Travellers’ Association of South Australia Incorporated