2013 'GUN PUNTERS CLUB' APPLICATION FORM
Personal Details
FIRST NAME ________________________
SURNAME __________________________
CODE NAME ________________________
(This is your nickname or name you are normally known as. 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 1________ or Shirt 2________ (see 'about us' for shirt details)
Shirt Size(M,L,XL,XXL)______
Name you would like on shirt_______________
*Please tick the appropriate membership required.
__ FULL MEMBER AU$510
Note: Australian Dollars
*Overseas punters, Full Member AU$530 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.
THE GUN PUNTERS CLUB IS BASED IN QUEENSLAND, AUSTRALIA.
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