New Members

New Member

Please note that filing out this membership form is to receive a membership for Kambah only at this time.

Becoming a member of the Burns Club is easy and if you are interested in becoming a member of the Burns Club, you can either fill out this form or sign up whenever you are in the club next.

Just a friendly reminder that the concession prices are for pension and concession card holders only.

*Please allow a minimum of 24 hours before collecting your membership card.

"*" indicates required fields

Name*
DD dash MM dash YYYY
Residential Address*
Age restriction*
Privacy Policy*
Credit Card*
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Expiration Date