Membership Renewal Form Membership Type1 Year Financial Membership - $103 Year Financial Membership - $25Member No.(Required)ADD ONOne year only. SOCIAL BOWLING + $20 FULL BOWLING + $105 PIPE BAND + $30 (Playing Member) PIPE BAND + $20 (Non Playing Member) JUNIOR PIPE BAND $0 NONE Name(Required) First Last Address(Required) Street Address Address Line 2 Suburb Postcode Mobile(Required)Home PhoneDate of Birth(Required) DD slash MM slash YYYY Email(Required) Team Rewards (Sponsorship) Nominate your favourite local sporting team and with every food and beverage purchase made, we will also allocate the same amount of points to your nominated teams. Team Rewards points are tallied up over a calendar year and result in sponsorship of cash and vouchers.Nominated Team:Please chooseCarisbrook Football Netball ClubColts Phelan Cricket ClubDunolly Golf ClubMaryborough Giants Football Netball ClubLaanecoorie Cricket ClubMaryborough Croquet ClubMaryborough Cricket ClubMaryborough Football Netball ClubMaryborough and District Gun ClubMaryborough Masters Football ClubMaryborough Tennis ClubNatte Bealiba Football Netball ClubTalbot Football Netball ClubConsent By applying for membership, I agree to be bound by the constitution and by-laws of the Maryborough Highland Society Inc. I also agree to being contacted by the Venue with latest news and offers, including gaming, wagering and Keno (unless you have opted out by ticking the contact preferences box). The Maryborough Highland Society Inc. complies with the Privacy Act 1998 and the National Privacy Principles. A copy of the Club’s Privacy Policy can be found on the Highland Society Website www.highlandsociety.com.auContact Preferences Do not contact me regarding promotions and discount offers which may or may not include keno, gaming and wagering information.Total Credit Card PhoneThis field is for validation purposes and should be left unchanged. Δ