APPLICATION FOR  ASSOCIATE MEMBERSHIP OF
THE ATLAS CLUB Inc

I hereby wish to apply for Associate Membership of The Atlas Club Incorporated and its associate clubs
All of the information supplied on this application form is protected under our Privacy Policy and the Privacy Act and will not be made available to any other party. This information is stored off-line and cannot be accessed by unauthorized persons or via the net.

*  The Information marked by a RED asterisk must be supplied or your application may  not proceed.

 

Your First Name*/Middle initial*/Last Name (surname)*: First and last names must be in full not initials
Your Spouse/partners's First name /Last Name:
Street Address* This must be your personal address not a work or business  address
1.Suburb*   2.city* 1 Suburb2 City.
1.State*   2.Post Code*: 1. State   2.Postcode
Country*:    
Home Phone Number Code/number*     
Mobile/Cell phone Number*
Email Address:* Atlas deals & information are only disseminated by email to members, so make sure your email address is correct or you will not get a response. Your personal email address

Enter your email address again*

This second step automatically enters you into our comps
Your Date of Birth dd/mm/yy*  
You must be over 18 yrs of age
Is a Club Member sponsoring you? Please provide the First Name/Last Name & Membership Number* of the Atlas Member who is sponsoring you into the Atlas Club
How did you find out about The Atlas Club?
If you located us through the internet site which website was it?
*The Atlas constitution requires that all new members  are to be sponsored by an existing Atlas member. If you do not know an Atlas  Member to sponsor you, leave the above space blank and a Club Director will sponsor your application . 

*Please Select the Club Activities that are of interest to you
*It is essential that you  select, the club activities that are of interest to you. Unless you do this, there is no point in joining the club, because we do not publish sensitive information on our activities at our website. Club information is meant to be viewed by members only and is therefore  sent direct to you by email.   
Domestic Travel Atlas Comedy Club
Accommodation Specials Atlas Movie Club
Domestic Holidays Wine & Food Club
Short Breaks Competitions, Trivia, Games
Domestic Charters Atlas Bargain Bazaar
Cruises Atlas Computers & Software
International Travel Entertainment, Parties, Excursions
Travel Cash Reward Points (our unique rewards points Program) Atlas Insurances
       
I declare that I am 18 years or older and I understand that Associate  Membership to The Atlas Club Inc is FREE and that by clicking on the "Submit" button below signifies that I have agreed to be bound by the Club's rules and constitution. 
Do you Agree?   

 
Click the  "submit" button once only, then allow up to 80 seconds for the form to process.  Please DO NOT click on the "Submit" button again during this period. Allow up to 3 working days for your application to be processed