2024 Club Membership 2024 Club membership form Name * Name First First Last Last Address (please include state & post code) * Phone * Email * Number of Memberships * - Select -1 - $100 please select shirt size/sizes below2 - $200 please select shirt size/sizes below3 - $300 please select shirt size/sizes below4 - $400 please select shirt size/sizes below5 - $500 please select shirt size/sizes below Medium - Select -12345 Large - Select -12345 XL - Select -12345 2XL - Select -12345 3XL - Select -12345 Payment method Direct deposit Cash Cheque Captcha If you are human, leave this field blank. Submit CLUB MEMBERSHIP – $100 per membership Offical Club Polo Free entry to home games Discounted bar prices Account details BSB: 062 607 Acc Name: Thirroul Rugby League Football Club Acc No: 10090566
