Townsville VeteransVeterans Supporting Veterans

Membership Application

Complete the form below. We will be in touch once it has been received.

Membership type

Patched Member – $50 / month Supporter Member – $0 Social Member – $0

Your details

First name *Last name *

Date of birth *Phone *

Email address *Postal address *

Next of kin

Full name *Relationship *

Phone *

Emergency contact

If this is the same person as your next of kin, repeat their details.

Full name *Phone *

Vehicle details

Patched members: your motorcycle. Leave blank if you do not have one yet.

Make and modelRegistration

Military service

Branch (Army, Navy, Air Force)Years of service

Service number (optional) Medals / awards held

Agreement I have read and agree to the club's terms, constitution and by-laws, and I confirm the details above are true.

Type your full name as your signature * Date

Payment

Patched membership is $50. Pay by bank transfer using your full name as the reference. Applications made after the second week of the month pay a pro-rata $25 for the first month. Your application is finalised once payment is received.

We will email you the bank details when we receive your application, or call 0400 010 470.

We keep what you tell us private and use it only to run the club. See our privacy page.