1
Citizen Kanebridge Club is operated by Kanebridge Media Pty Ltd
ABN 19 611 370 846
Applicant Name
Application Signature
Date
Application Category
Subscriber $3,750+GST/yrFull Member $7,500+GST/yrCouple $15,000+GST/yrCorporate Family Office $20,000+GST/yr
Second person information
Full Name
Residential Address
Second Residential Address
Date of Birth
Email Contact
Telephone Contact
2
Additional Documents
Copy of Photo page of identification document (to help us confirm your identity)
Passport
Driver’s license
Other Photo ID
3
Membership fees are paid for an annual term.
Fees may be paid annually in advance or in quarterly instalments.
Membership will be on hold during any period fees are not fully paid.
Some Citizen Kanebridge Events may be separately priced. Food and Beverage are charged separately and may be subject to minimum annual spends
I confirm that all information I submit is complete and correct. I agree to supply further information requested by Citizen Kanebridge and its associated clubs including Royal Automobile Club of Australia and Vault House as required in support of your application. If provisionally accepted for membership, Citizen Kanebridge will require further information including credit card details.
All applicants will be screened for good character.
If you know other Citizen Kanebridge members, please let us know
Members Name
-+
Thank you for submitting your application.
We will review and contact you for any further information required and for CVC details to finalise payment.
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