ACSR Membership Form, 2024

ACSR Membership Form, 2024
(New Member)

Your Name

First Name

Last Name

Type of Application

Individual

Corporate Body

If an 'individual' application, are you being nominated by an unincorporated body?

Yes, my organisation is nominating me.

No, I am making an application on behalf of myself.

If an 'individual' application, please confirm your Date of Birth:

Name of your club/organisation (if applicable)

Your role within your club/organisation (if applicable))

Your Address

Your contact telephone number

Your E-mail Address

Privacy

ACSR is committed to protecting your privacy and our full privacy statement is available on this website.

I give permission for ACSR to collect, store and use my personal data for the purposes of maintaining Membership & Trustee records and for contacting me for matters relating to ACSR.

I do not give permission for ACSR to collect, store and use my personal data.

ACSR Membership Form, 2024
(New Member)

© ACSR 2024

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ACSR Membership Form, 2024 (New Member)

ACSR Membership Form, 2024
(New Member)