Membership Renewals

Please note that filing out this membership form is to receive a membership for Kambah only at this time.

If you are a pre-existing member, and don’t want to come into the club to renew your membership, fill out this form and your card will be ready for collection next time you walk into the club. If you are unsure of you member number, please call the club and we will be more than happy to help you out.

*Please allow a minimum of 24 hours before collecting your membership card.

Name*
First Last
Member Number*
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
Membership Renewal
Total
$ 0.00
Credit Card

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Age restriction*
- You certify that you are over eighteen (18) years of age.
Privacy Policy*
- You have read and understood the Privacy Policy