BRISEIS    
MEMBERSHIP APPLICATION FORM

Register today

Download Application form here 

or

Complete Applicant Details  here

I would like to become a member of the Briseis Club 2025.

By Submitting this form you agree to the following :-I will conduct myself with respect for others at all associated club functions and agree that any form of discriminatory behaviour or harassment will not be tolerated.

My membership  payment of $60 or $100 for family concession for 2025.

BRISEIS CLUB 858: 083 646ACCOUNT NO: 167 544 149REFERENCE: (YOUR NAME - MEMBERSHIP)

For more info please reach out to iansahlstrom@gmail.com

Or call 0408106674

BRISEIS MEMBERSHIP APPLICATION FORM

Register today

By Submitting this form you Agreed

Error

My membership payment of $60 or $100 for family concession for 2025.