Temporary Membership

All fields marked * are required

Applicant's Name*

Email*

Address*

Contact Number*

Date of Birth* (dd/mm/yyyy)

Type of membership*

Date temporary membership to start*

Today's Date*

You will receive an email as a record of your application. It will also include details on how to make payment, which is due to be paid before your intended membership start date .

Please prove you are human!

You should receive an emailed copy of this form. If you don't, it is likely due to mis-typing your email address. Please check carefully before sending!