Please provide your personal details and details of your selected membership package/s below. This form is designed for those who would like to purchase their membership/s by Credit Card only. If you would like to purchase your membership/s with Cash, Cheque or Other please call the Club directly on 9384 9200.
Personal Details

Question Title

* 1. Personal Details

Are you a new Member or Renewing Member?

Question Title

* 2. Are you a new Member or Renewing Member?

Additional Membership Nominees (including family)

Question Title

* 4. Additional Membership Nominees (including family)

Payment Details

Question Title

* 5. Payment Details

I acknowledge that a further $10 will be charged for postage of Tiger Cub (Junior) or $5 to post the Tiger Toddler Membership Pack. 

Question Title

* 6. I acknowledge that a further $10 will be charged for postage of Tiger Cub (Junior) or $5 to post the Tiger Toddler Membership Pack. 

I authorize the Claremont Football Club to charge the total sum to the card details provided above.

Question Title

* 7. I authorize the Claremont Football Club to charge the total sum to the card details provided above.

I would like to receive a receipt for my purchase. (Receipt will be sent to the postal address provided above)

Question Title

* 8. I would like to receive a receipt for my purchase. (Receipt will be sent to the postal address provided above)

I would like to receive E-Newsletters from the Claremont Football Club.

Question Title

* 9. I would like to receive E-Newsletters from the Claremont Football Club.

Payments will be processed at the Claremont Football Club with in 48hrs of the form being submitted. To follow up on your membership/s status please call the club on 9384 9200.

T