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.

Name*
First Last
Phone*
Email*
Date of Birth*
DD dash MM dash YYYY
Residential Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Age restriction*
- You certify that you are over eighteen (18) years of age.
Privacy Policy*
- You have read and understood the Privacy Policy
Product Name*
Total
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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