Bronze Player Sponsorship - New Sponsor

Firstname

Surname

Password

Confirm Password

Phone Number

Date of Birth

Address

Suburb

Postcode

State

Gender

Delivery Required?

Yes No

Delivery is free of charge. Delivery is only charged for merchandise.

Name of player you would like to sponsor:

Sponsorship is not guaranteed. The club will be in touch if there are any issues.

Have you been referred by an existing member? If yes, please enter their unique code, name or email address.

Would you like to add on a pet membership?

Yes No

How many pets?

1 2

Pet Name

Type of Pet

Pet D.O.B

Pet Name 2

Type of Pet 2

Pet D.O.B 2

Would you like to:

I agree to have my details saved