Online Membership Application
Reap the rewards of Membership!
* Exclusive birthday/voucher offers
* Free tea & coffee with biscuits in our gaming area
* Point system to redeem cash benefits
Sign Up
 
Full Name: *

 
Postal Address: *

Street Number, Street, Suburb, State, post code
 
Contact Number: *

 
Date of Birth: *

Day / Month / Year
eg: 04/03/1970
 
Gender: *


 
Preferred method of Contact:


 
Statement of Application: *

I declare that I am over eighteen (18) years of age and the information i have provided is true and accurate. I agree to abide by the rules and terms of conditions  held at the Acacia Ridge Hotel. I  understand that my membership is not final until my application is approved. Should my application be rejected or terminated, I will forfeit my membership card and all entitlements including those that I have accrued prior to my membership being rejected or terminated.
     
 
Promotions & Special Offers:

Please notify me to receive promotional material

Thank you for choosing the Acacia Ridge Hotel!
again
Powered by Typeform
Powered by Typeform