West HQ – Member Application Form

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Application

WEST HQ LOYAL

1 year ($5)

3 years ($10)

The following information is required under sections 30(2)(i) and 31(1)(a) of the Registered Clubs Act 1976 (NSW) and must be compled before we can process your application.

I certify that I am over the age of 18 and I request that you enter my name on the Register of Members as a full or associate member of West HQ Limited (Company). I agree to the terms and conditions of this application and to be bound by the Company’s Constitution. I acknowledge that my membership application is subject to Board approval and I undertake to return my card in the event that approval is not granted. Please select from the below options: Company Information

OPT IN

I elect to receive Notices of Company Meetings by electronic means.*

I am entitled to receive a copy of the annual report of the company. I elect to receive this by electronic means*. I would like to receive information about gaming promotions*

OPT OUT

I do not wish to receive information and promotional offers from the Company via electronic means of: SMS Email

If you have elected to Opt out of SMS and/or Email communications, you understand that you will not receive any information and promotional content including: Reminders for your Birthday, Gift Days (if elected), and all other West HQ promotions.

*Mandatory field

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