Membership Application Form

This is only a

test page

at this time

please DO NOT submit applications

 

Please Note -

All Applications MUST be approved by our Board of Directors and must be accompanied 

by a valid form of ID, therefore online applications are only tentative,

subject to approval. We do not accept payment for applications online.

Applications received by Email are only valid after the Applicant has 

produced photo identification in person at the time of payment.

 

Thank you for choosing to join

The Orange Ex-Services' Club

Please complete all the relevant fields in the form below. 

This form will be submitted to our Board of Directors for approval, after which you will be sent an e-mail, letter or contacted by telephone, to verify your request, inform you of your acceptance and advise you of membership rules and regulations.

 

The Box Below contains your declaration to the club and also contain a place for you to sign.

 DO NOT ALTER THIS IN ANY WAY.

You will be asked to sign this part of your application when you appear in person with your identification.

Identification: When you appear in person to pick up your New Membership, you will be asked for identification. You must be able to produce at least one form of ID which contains a photo.

What type of Membership would you like to apply for?

Member Type
 Associate (standard membership)

Social 1     (spouse must be a services or associate member)

Social 3     (pensioner - aged or disabled)

Services    (must be a returned service person)

APPLICANT
Title :

Surname :

First Names :

Telephone :

Fax :

E-mail Address :

Residential Address :

City / Suburb :

State :

Postcode :

Postal Address :

City / Suburb :

State :

Postcode :

Daytime Phone   Number :
(if required for callback verification)

Date of Birth:

Occupation:

Previous 

Membership:

Have you ever been a member of the Orange Ex-Services' Club in the past ?
Yes   
No

Social 1 only   

(spouse must be
 a services or 
associate member)

Spouse's Name ?
Spouse's OESC Membership Number?

  Social 3 only   

(pensioner)

Pension Type ?
Pension Card Number ?

Services only   

(must be a returned service person)

Local Ex-Service Organisation ?
Receipt / Service Number ?

PLEASE NOTE: 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALL APPLICATIONS MUST BE PROPOSED AND SECONDED BY SERVICE MEMBERS OF THE ORANGE EX-SERVICES' CLUB 

i.e. Proposed by a Member of both an Ex-Services Organisation and the Orange Ex-Services' Club.

? DO YOU KNOW ANY PROPOSERS ?

Yes   
No I do not know anyone suitable to propose me.

Q. If I do not know anyone eligible to propose me can I still Join the Club?  

A. Yes - We may ask you for a short interview when you appear in person to sign your application.

Do not complete the section below regarding proposers.

 

PROPOSERS

I propose who has been known to me for years and I consider him/her an eligible member in every way.

 

Proposer

OESC Badge #

Address :

               

I second the nomination 

of who has been known to me for years and I consider him/her an eligible member in every way.

 

Seconder

OESC Badge #

Address :

               

Would you like us to keep you informed of special offers and events that may be of interest to you via e-mail?
Yes, keep me informed!
No, do not send me any e-mail.

If you have any questions about your application, or prefer to make a request by phone, please call

02 6362 2666

I affirm that the Information given is true and correct.

 

This form will be submitted to our Board of Directors for approval, after which you will be sent an 

1.e-mail

2. letter

or

3. telephone call

to verify your request, inform you of your acceptance and advise you of membership rules and regulations.

Thank you for choosing the Orange Ex-Services' 
Please enjoy our facilities...
Orange Ex-Services' Club LTD
Copyright © 1999 [Templer's Mill Motel]. All rights reserved.                        
Revised: June 02, 2008 .

Disclosure: OESC reserves the right to change any prices stated on this web page. Prices are subject to change without notice.