Dapto Leagues Club Membership Application

Please submit the following details for application to Dapto Leagues Club.

If you have any issues submitting this form, please contact Reception on 02 4261 1333.

Title*

Mrs

Miss

First Name*

Surname*

Address*

City/Suburb/Town*

State*

Postcode*

Country*

Email*

Birthdate*

Occupation*

Telephone*

Mobile*

Kin Name*

Kin Telephone*

Membership Type*

Please do not click back or click the Pay button more than once. Please wait for your transaction to be processed and the Thank You page to load which confirms your payment.

Pension Number

Would you like to OPT in to receive information about gaming promotions*

Yes

Would you like to OPT in to receive information about gaming promotions?*

SMS

Post

Other

*Please note: Where you have provided an email address or a mobile telephone number, you agree and acknowledge that the Club will provide all communications (including Notices of General Meetings and the Annual Report or notification that those documents are available on the Club’s website) to you by email to that address and/or SMS to that mobile number and that you have access to the internet for viewing such documents.

IMPORTANT INFORMATION

Renewing Members only. New memberships cannot be processed online.
You only have to renew if your membership expires June 30, 2024.
50 Year Category is only for 50 Year tenure in membership - ie been a member for 50 consecutive member years of Dapto Leagues.

Payment Details

Total

Credit Card

Card Details

Cardholder Name

CAPTCHA

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Dapto Leagues Club Membership Application

IMPORTANT INFORMATION

Payment Details