2019 Associate Membership Form

Your Name* (required*)

Your Email*

I hereby apply for associate membership to the Brisbane Rugby League Referees' Association for the 2019 season. I understand that this application is subject to approval from the Brisbane Rugby League Referees' Association Management Committee and other criteria (blue card) may be required. The 2020 associate membership fee can be paid by cash, EFTPOS or by direct debit to BSB 633000 A/C 158379222

Associate Membership Fee

The membership fee is currently set at $25

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