Financial Membership Application Form

Application form for Club Membership

$30.00 subscriptions can be paid in the following ways:

  • At the office between the hours of 8am-5pm weekdays, eftpos is available and credit cards are accepted.
  • At the bar after office hours.
  • By providing your credit card details over the phone or email.
  • Internet banking – Club account details - BNZ Kaiapoi 02 0852 0013477 000
    Please ensure you include your name in the reference fields.
  • Please note - We cannot process your application until payment is received.
Phone Numbers
Have you ever been rejected from Membership of any other Club, Or been prohibited?


Will you allow your details to be supplied to Clubs New Zealand to be included on a national register of members?