Renew your Membership Are you already a member and need to renew your membership? At the moment, renewals can only be done by visiting our reception desk. Don’t forget to bring your member card with you. New Member Form Name(Required) TitleDr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Gender(Required)FemaleMaleOtherDate of Birth(Required) Day Month Year Address(Required) Street Address City ACTNSWNTQLDSATASVICWA State Post Code Phone(Required)Email(Required) Occupation(Required) Card PIN(Required) Please choose a 4 digit PIN for your member card.Intra ClubsIf you or your child a member of one of our Intra Clubs, please select. ACC – Cricket Club APIA Leichhardt Tigers ASA Association Backgammon Club Boomers Baseball Burwood FC Concord Burwood Wolves Enfield Federals Jnrs Enfield Swim Club Federazione Italiana Rugby League Australia Inner West Netball Leichhardt Wanderers Netball Leichhardt Wanderers JRLC Petersham Rugby Jnrs Pratten Park Magpies St Patricks FC St Patricks Rugby Strathfield Raiders Jnrs Wests Badminton Wests Bowls Ladies Wests Bowls Mens Wests Hockey Club Wests Jnr Rugby Wests Ladies Golf Club Wests Lawn Tennis Assc Wests Magpies RLFC Wests Mens Golf Club Wests Oz Tag Wests Tigers RLFC Wests Touch Football Wests Water Polo Club WSDCC Marketing Preferences Email Mail SMS Promotional Material Gaming Material Annual Report – Mail Annual Report – Email Membership Price: Membership Type1 Year5 years10 YearsTotal Conditions All new membership applicants will be granted the status of Provisional membership whilst awaiting the decision of the Board for election as a Social member of the Club.All new membership applicants will automatically be enrolled in the Club’s Member Loyalty Program. Members can Opt – Out of the program by contacting Reception on (02) 8752 2000 or by email; email@example.comShould a person who is admitted as a Provisional member not be elected to Social membership of the Club, for any reason, within 6 weeks from the date of application, the person shall cease to be a member of the Club and all fees paid will be refunded to the applicant. The Board will notify any unsuccessful applicants in writing. Any unredeemed Wests Member Loyalty Points for unsuccessful applicants will be forfeited.Unredeemed points accumulated as a result of activity through Wests Member Loyalty Rewards as outlined in the program will be forfeited on the close of trade October 31 each year. Members are encouraged to redeem their points any time prior to this date annually.Application for General membership is only available to Social members who have held membership with the Club for a continuous period of, no less than 3 years. General membership is subject to approval by the Board of Directors.All Provisional members must assume the consequences of entering into Club premises where smoking is permitted.In applying for this membership you agree to be bound by all the terms and conditions as set out in the Constitution of Wests Ashfield.Declarations I hereby certify that I am over eighteen (18) years of age. I understand that Wests Ashfield is subject to the provisions of the Privacy Act 1988. The primary reason for the collection of this information is so that the Club can, from time to time, communicate with me, using information supplied on this application form and information obtained from Member Loyalty Programs. I understand that I can opt out of communication at any time, and that I can access information relating to my membership by contacting Reception staff. EmailThis field is for validation purposes and should be left unchanged.