Join the Society

Please complete the form below, providing all details requested. Please also note that while this form is provided for your convenience, this is not a secure server so do not send any credit card details on-line. Alternatively, download the pdf membership form and send by mail or fax. Joining fee includes a complimentary bottle of 700 ml Society single malt whisky! If paying by cheque, please forward a completed printout of this order form by mail to PO Box 1113 Newport NSW 2106. However, if you would like to avoid filling out any paperwork whatsoever, then simply call us on (02) 9974 3046, and we shall process your application over the phone. Thank you.

Membership cards will be issued from Scotland. Please allow 28 days for receipt of your card. Thank you.

New Member's Personal Details
Name	*
Address	*
Suburb	*
State	Postcode  *
Daytime tel	(please include area code)*
Mobile
Email
Membership Type	Individual Membership $195.00 Annual Renewal Fee $75.00 Gift Membership $195.00 Gift Annual Renewal Fee $75.00
*There is an additional $15 courier fee for the complimentary bottle of membership whisky
Licensing laws require that we request your data of birth in order to ensure we are not selling to minors as well as the date of birth for any gift membership recipients.
Date of birth	* must be completed!
Your Name and Address (if giving membership as a gift)
Name
Address
Suburb
State	Postcode
Daytime tel	(please include area code)
Mobile
Email
Date of birth	* must be completed!
Method of Payment*
Please note: This is not a secure server so please do not send your credit card details online. Please tick the appropriate box for method of payment. If paying by credit card, a Manager from the Society will contact you by phone to confirm your payment details.
	Cheque (please send by mail)
	Credit Card (a Manager will contact you shortly).