Membership Renewal - Moama Bowling Club

I am renewing my membership type:*
Member Number*
Name*
Mr. / Mrs. / Ms. / Miss First Name Last Name
Gender
- Male
- Female
Residential Address*
Street Address Town / Suburb State Post Code
Postal Address (if different to residential address)
Street Address Town / Suburb State Post Code
Mobile*
Email Address
Date of Birth*
DD slash MM slash YYYY
Occupation*

*In accordance with the Registered Clubs Act NSW, this information must be provided.
Club Gaming Promotions*
- I do wish to receive information regarding the Club's Gaming Promotions in accordance with the requirements of the applicable legislation.
- I do NOT wish to receive information regarding the Club's Gaming Promotions in accordance with the requirements of the applicable legislation.
Total
$ 0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Name
This field is for validation purposes and should be left unchanged.

Physical: 6 Shaw Street, Moama NSW 2731

Postal: PO Box 19 Moama NSW 2731

Sun-Thu: 10am to 1am
Fri-Sat: 10am to 2am

Moama Bowling Club Courtesy Shuttle is a service offered for the transport of members and guests to and from the club. See here for more information.

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