Service Member Application

Step 1 of 5

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To begin your application please fill out the below.

I hereby apply to be admitted as a Service Member of the League and a member of the following Sub-Branch
Sub-Branch to join*

Personal Details
Name*
Prefix First Middle Last
Nee (Maiden Name):
Date of Birth*
Country of Birth*
Mail Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone (inc STD)
Home Phone (inc STD)
Mobile*
Email*

Previous Membership Details
Previous Membership*
- Yes
- No
Date First Joined
RSL Badge Number
Previous Member of

Membership Subscription
Membership
Membership*
- 1 Year Subscription
- 1 Year Subscription For Current Serving ADF
- 3 Year Subscription
- 5 Year Subscription
Total
$ 0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Declaration and Agreement
*
- I declare that I have not been convicted of a criminal offence and do not have charges outstanding pertaining to a criminal offence.
*
- My application details are true and correct.
*
- I agree to uphold the Constitution of the League and its By-Laws.
We will not use any of the information on this membership form without your specific permission in writing, other than to record you as a member of the League and will not pass that information to anyone outside the League. As per By-Law 12.

Annual membership $40.00 is required with this form if payment before 30 June.

Pro-rata payments apply after 30 June.
July-September $20.00
Oct-Dec $40.00 - covers following year
Signature*
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About Us

The RSLWA is the governing body of RSL Sub-Branches across Western Australia. We aim to commemorate, support and provide comradeship to veterans and their families.

Call us (08) 9287 3799

Visit Us
Level 3,
66 St Georges Terrace
Perth WA 6000

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With over 100 Sub-Branches across the state, there’s sure to be a branch near you.

Service Member Application

Service Member Application

Step 1 of 5

Personal Details

Service Details

Previous Membership Details

Membership Subscription

Declaration and Agreement

About Us

Links

Members Area

Locate a Sub-Branch