Membership Form

If you would to become a member of the Wentworthville District Rugby League Football Club please fill in the form below, print and sign it.

Please either return it to the Clubhouse on game day with your fees (or a copy of your direct deposit receipt) OR post it to the address on the form with a cheque, money order or a copy of your direct deposit receipt

Bank details are as follows:

Account Name: Wentworthville District Rugby League Football Club

BSB: 062 268

Account: 1005 7748

Description/Reference: YOUR NAME (Without this we will be unable to match your deposit with your application)

(Please note that you should see a “print” icon within the PDF form when your mouse is over the form)

Or you can email your signed application to info(at)wentymagpies.com.au

MEMBERSHIP-APLICATION-2018