Membership Renewal - C.ex Group

Membership Number*

Membership Package

Title

MR MS MRS

First Name*

Last Name*

Date of Birth*

Gender

MALE FEMALE

Street Address*

Suburb*

Postcode*

State/Territory*

Email Address*

Occupation*

Home Phone*

Mobile Phone*

Club to pick your card up from?

C.EX COFFS C.EX WOOLGOOLGA C.EX URUNGA

I hereby apply for membership of the C.ex Group (registered as Coffs Ex-Services Memorial and Sporting Club Limited) trading as C.ex Coffs, C.ex Urunga and C.ex Woolgoolga and if admitted I agree to be bound by and so comply with the constitution and by-laws of the Club. I also declare that I have attained the age of 18 years, and the date of birth stated on this application is correct.

I consent to receiving marketing materials, advertising materials and other offer materials from C.ex Group including but not limited to material relating to birthday rewards, prize draws, promotions, entertainment, food, beverage, gaming machines, gaming and the C.ex Group Star Rewards loyalty program.

I agree that my participation in the C.ex Group Star Rewards loyalty program is subject to the C.ex Group Star Rewards Terms and Conditions (as amended from time to time).

YES NO

Do you have your image on your current membership card?

YES NO

NOTICE: You will be required to visit any C.ex Group venue to pick up your card and have an image added.

Would you like to send your card via postage for $1.00?

YES NO

Full name:	{{memberData.first_name}} {{memberData.last_name}}
Email:	{{memberData.email_address}}
Membership Options:	{{packageString}} + $1 postage

RENEW YOUR MEMBERSHIP

Checkout

Thank you for your payment, {{memberData.first_name}}!

SUNDAY	10AM – 11PM
MONDAY	10AM – 11PM
TUESDAY	10AM – 11PM
WEDNESDAY	10AM – 11PM
THURSDAY	10AM – 12AM
FRIDAY	10AM – 12.30AM
SATURDAY	10AM – 12.30AM

SUNDAY	10AM – 8.30PM
MONDAY	10AM – 8.30PM
TUESDAY	10AM – 8.30PM
WEDNESDAY	10AM – 8.30PM
THURSDAY	10AM – 8.30PM
FRIDAY	10AM – 9.30PM
SATURDAY	10AM – 9.30PM

SUNDAY	11AM – 6PM
MONDAY	11AM – 6PM
TUESDAY	11AM – 6PM
WEDNESDAY	11AM – 8PM
THURSDAY	11AM – 6PM
FRIDAY	11AM – 8PM
SATURDAY	11AM – 8PM