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What’s On
Membership
Contact
Membership
Membership Form
Membership type
*
Service
Affiliate
Social
Title
*
Mr
Mrs
Ms
Miss
Other
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
DD slash MM slash YYYY
Residential Address
*
Street Address
Address Line 2
City
State
Postcode
Do you have a different postal address?
Yes
Postal Address
Street Address
Address Line 2
City
State
Postcode
Email
*
Home Phone
Business
Mobile
*
Service Applicants only
Service Details
Australian Defence Force
Allied Armed Force
Country
Service
*
Army
Navy
Air Force
Merchant Navy
Service Number
Current/Discharge Rank
Unit/Ship
Date Enlisted
DD slash MM slash YYYY
Date Discharged
DD slash MM slash YYYY
Service Awards
Service Locations
Affiliate Applicants
Details of the person who is or was eligible to be a service member of the League
Name
Service Details
Family Relationship
Six Months Service in the following
Police
Fire Brigade
CFA
Ambulance
SES
Declaration and Agreement
I declare that: 1. The information provided is true and correct 2. I agree to uphold the Constitution of the league and its by-Laws 3.
I understand that as a member of the RSL I will receive information about RSL events, activities and offers from the RSL and its business partners. I will always have the opportunity to unsubscribe. For the RSL privacy policy please visit rslvic.com.au
Signature
