[icon class="fa-solid fa-mobile-screen"] Request for a RRDJ Phone

Request for a RRDJ Phone

Member's Title

RRDJ No.

Phone/Mobile

we, the above named, request a RRDJ Phone to be sent to postal address upon payment of S900.

Postal Address

Postal Address Line 1

Postal Address Line 2

Postal City

Postal State

Postal Postcode

Postal Country

Proof of Payment

Please upload your proof of payment given by your bank.

For Fees (Registration & Litigation)

Account Holder: Spiros Kalotihos
BSB: 633-000
Act: 232252122
Bank: Bendigo and Adelaide Bank Limited, The Bendigo Centre, Bendigo VIC 3550, Australia
BIC/Swift: BENDAU3B (for international transfers)

Proof of Payment

Choose File

Your Steward's Details

You find your steward's details by typing a couple of characters in the steward's name field underneath.

Steward's Name

Steward's State

Steward's RRDJ No

Steward's Location

Steward's Email

Your Steward's Details

This data was automatically inserted for you from your stewards personal website.

Steward's Name (Stewards.Services)

Steward's Email (Stewards.Services)

RRDJ No (Stewards.Services)

Disclaimer

Our tick in this box signifies our signature.

Date

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