Membership Application I design to become a Member of Swansea Workers Co-operative Club Ltd, I request you to enter my name on the register of members' accordingly and I agree to be bound by your Constitution and Rules or by Laws. I have attained the age of 18 years. I understand that I am able to view a copy/or purchase a copy of the Clubs Constitution. I am able to view a copy of the Clubs last Annual Financial Report (72 hrs notice required to enable appointment to be made) I have supplied information freely.Membership Duration*1 Year5 YearPerpetual membershipTitile*MrMrsMissMsName* Christian Name/s Surname Address* Street Address Address Line 2 Suburb State Postcode Phone*Email* Date Of Birth* DD slash MM slash YYYY Occupation*Are you a Member of another Club?* No Yes Which one?*Privacy Statement Swansea Workers Co-operative Club Ltd is subject to the provisions of the Privacy Act 1988. The personal information provided by you on this application will be used to process your membership application. failure to provide all of the requested information may result in your application being rejected. You have a right to access and correct any of your personal information that the Club holds about you. The Club does not usually disclose your personal information to any other Organisation or person unless there is a legal requirement to do so. The Club may disclose your information to third parties that provide services under contract to The Club. These contacts require the third party to keep your personal information confidential and secure. Your personal information, including information about you obtained as a result of you placing your membership card in a gaming or other club machine (not ATMS) may be used by the Club for marketing purposes to improve our services and promotions.Do you wish to receive a copy of the yearly financial statements?* Yes No Total $ 0.00 Credit CardCard Details Cardholder Name Identification needs to be sighted to finalise the process. Please email both side of licence to [email protected] or show when picking up from the club. Δ