Country Members Information

The Club is seeking your consent to share your contact details (full name, email, phone number and postcode) with respective members of the Country Members Sub-Committee so that they are able to get in touch, assist where they can and help connect members within local areas.

If you are happy for the Club to share your details with the Country Members Sub-Committee, please complete the form below.

Name(Required)

First Last

Member Number(Required)

Email(Required)

Phone Number(Required)

Town/Suburb(Required)

Postcode(Required)

Consent(Required)

I am happy to be contacted directly by the Country Members Sub-Committee