JBRUFC Ladies Club Registration

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Complete the form below to register for your spot in our Inaugural Ladies Club!

First Name *

Surname *

Email *

Preferred Member Number (3-100) *

Please provide an alternative if your preferred number is taken)

Preferred Name/ Nickname on shirt? *

JBRUFC reserves the right to censor inappropriate/offensive responses.

Top Size? *

XXL

3XL

4XL

Preferred Payment Method? *

Please confirm your preferred payment method by selecting the appropriate option.

Cash/ Eftpos ($260 per year) Please complete form and return payment to Emma

Direct Debit ($5 per week) Instructions below

DIRECT DEBIT INFORMATION

The direct debit must be set up by, and controlled by you. We cannot cancel or change it, so you have complete control over your payments. Please remember when signing up for the membership, it is annually - not seasonally - and you will need to set up regular payments or the membership will be cancelled unless notified.

PLEASE REMEMBER TO INCLUDE FULL NAME & MEMBER NUMBER ON DIRECT DEBIT SET UP SO WE CAN IDENTIFY YOUR PAYMENTS

BANK DETAILS;

WESTPAC

Joondalup Brothers Rugby Union Football Club

BSB 036 231

Account 151310

For more information, contact;

Emma Jones: 0406 646 050 or Jess Marks: 0418 927 010

or email: info@joondalupbrothers.com

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