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Become a Member - Join Online

Title*
First name
e.g. Robert
Preferred name*
e.g. Bob
Last name*
Suffix
Gender*
Date of birth* //
Company
Profession
JobTitle
Home phone*
Work phone
Mobile
E-mail address*
Allow the SAJC to contact me via e-mail

Postal address
Street address 1*
Street address 2
Suburb*
State*
Postcode*

Residential address
Same as postal address
Street address 1*
Street address 2
Suburb*
State*
Postcode*

Membership details
Category*

Additional Annual Members Guest Pass


      Can only be purchased by a Member

Proposer/seconder details

Please complete the details of the Proposer/ Seconder if you know two financial members of the South Australian Jockey Club.

If not, the Board upon receipt of this application, will at the time consider to act as Proposer and Seconder of your application.
Proposer
First name
Last name
Phone number
Membership no
Seconder
First name
Last name
Phone number
Membership no

Identification

Further details

Please include any additional information relevant to your submission.
 
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