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2012 Memberships available NOW

To renew and pay your $6 membership online please complete the following form. Alternatively you can renew at reception next time you visit Southport Sharks.
 
Important!
 
To complete your renewal online, you will need a credit card or Pay Pal account to pay the $6 membership.
 
You will also need access to a printer so you can print your payment receipt. This is required to collect your new 2012 Membership card from Southport Sharks Reception.
 
 
*** By completing this form and applying for membership, you guarantee that you are 18 years old or above, and agree that you can provide proof of age upon collection of your membership card. Please note that Junir Sharks members do not have to renew their membership each year - it simply expires when they tur 18 years old***
 
* required information
Membership Number*
First Name*
Surname*
Has your address changed?*
Y N
Address*
Suburb*
State*
Postcode*
Home phone*
Mobile*
Email address*
Confirm email address*
Date of birth*
Please select all that apply
I would like to be a member of the
FREE SHARKS GOURMET CLUB
and receive updates on related activities
I would like to be a member of the
FREE SHARKS AFL SUPPORTERS CLUB
and receive updates on related activities
I would like to receive information on the
SHARKS GOLD LOYALTY PROGRAM via email
I would like to receive SMS messages
regarding special events
Please nominate one
charity by selecting
Gold Coast Health
Southport Special School
Rosies