Join Christchurch Memorial RSA

Years Service

Application for membership of the Christchurch Memorial RSA

Annual subscription for a single member is:

$10.00

Ex or current Service personnel applying for membership must provide suitable documentation of service in the Armed Forces.

Membership Type *

Couple or Rest Home Resident?

Couple
Rest Home Resident

Title *

Name *

First

Last

Date of Birth *

Email *

Mobile Number *

Address *

Second Person Title

Please complete only if you have selected "Couple"

Second Person Name

First

Last

Please complete only if you have selected "Couple"

Second Person Date of Birth

Second Person Email

Second Person Mobile Number

Next of Kin Details:

Service Number:

Forces Served With

Where/Deployment Served

Unit Served

Rank

For Ex or current Service personnel applying for Returned or Service Membership:

I have provided suitable documentation of service in the Armed Forces

Email to office@christchurchrsa.org.nz

Parent/Guardians Approval 13-17 yr old applicant:

For youth applicants only

Dates Served

Submit Application *

In joining this Association, I undertake to abide by its Constitution and Rules, and hereby declare I have not been expelled or rejected from membership of any other Returned and Services Association or Affiliated Club.

Bank Deposit *

Our Bank Account: ANZ, ANZ Centre, 127 Cashel St, Christchurch, Account: 01-0797-0897862-02

International Bank Payments: SWIFT Code: BKNZNN22 SWIFT No: BSB021000