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.