Full Name (required)
    Address (required)
    Phone/Mobile (required)
    Email (required)
    I agree to abide by the rules of the Ashhurst Memorial RSA Incorporated. The Ashhurst Memorial RSA Incorporated is non-secretarian and non-party political. (required)

    Membership is not open to any person who is also a member of any party, organisation, association or other body whose allegiances or objectives are inconsistent with those of the RSA movement. It is a prerequisite that members of the Ashhurst Memorial RSA Incorporated be of good standing and believe in the ideals of the RSA movement.

    Membership is:
    Returned Service Personnel
    Service Number
    Service Personnel including NZ Police
    Service Number

    We (Proposer)
    and (Seconder)

    Nominate as a member of the Ashhurst memorial RSA Incorporated.