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'GUN PUNTERS CLUB' APPLICATION FORM

Personal Details
FIRST NAME ________________________
SURNAME __________________________
CODE NAME ________________________
(This is your nickname. Some members like to have a code name which is welcome.)
ADDDRESS __________________________________

_____________________________________________

E-MAIL ADDRESS ____________________________

PHONE ________________
(if we need to contact you)

Shirts can be purchased at your request.($30 for embroidered name on shirt)
Please acknowledge IF shirt is required

Shirt Size(M,L,XL,XXL)______
Name you would like on shirt_______________

*Please tick the appropriate membership required.

__ FULL MEMBER AU$490
Note: Australian Dollars
*Overseas punters, Full Member AU$500 to cover the PayPal transaction fee.

I wish to apply for membership to the GUN PUNTERS CLUB. I acknowledge that I have read the Club Rules & will abide by the Club Rules at all times.
I acknowlege that the Manager has the right to either accept or reject this application.
If successful with this application, I will deposit my membership fee within the next seven (7) days.
I am 18+ years of age.(legal requirement for betting purposes)

_________________
(signed)



NOTE : PLEASE DO NOT SEND ANY MONEY WITH THIS APPLICATION.

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