May 11, 2017 adminbowls Online Payment Of Dues 2018/19 Bowling Membership Form 2018 - 2019 (renewing members only). New Members must fill in and sign the paper Registration Form SECTION 1 - PERSONAL DETAILSName* First Last Address* Street Address Address Line 2 City State Postcode Home Phone*Mobile Phone*Email* Date of Birth* Emergency Contact Person Name*Contact Person Phone Number*Privacy StatementThe information provided by members in this form is used by Monbulk Bowling Club Inc. and Bowls Victoria to aid in the administration of the sport. Members' names and contact details will be published in the Monbulk Bowling Club Handbook for the purposes of our members organizing bowls activities. Apart from publishing the Club Handbook, the Club will not disclose your personal information to any other organisation or person without your consent. You have the right to access your personal information held by the club. Your rights in respect to personal information collected by the Club are set out more fully in the Privacy Act 1998 and the Incorporated Associations Act 2012. Your personal information may be used by the Club for marketing purposes to improve our services.I DO NOT wish to receive marketing material and information about our promotions and services.Section 2 - ANNUAL FEE AND PAYMENTFull Member Bowler Renewal Price: A$ 125.00 NOTE: All fees include GST. Please enter your credit card / debit card details below: Credit Card / Debit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.