New Member Registration

Please use the form below to apply for membership of Club Connect.

New member requests are subject to approval by the club’s executive.

New User Registration

Username - Use first three letters of first name and first three letters of last name*

First Name*

Last Name*

Email*

Alternate Email

Mobile*

Method of paying subscriptions

SAHA pay deductionDHS pay deductionDECD pay deductionHuman Services pay deductionHealth & Wellbeing pay deductionRENEWAL SA pay deductionPREMIER & CABINET pay deductionSA HEALTH pay deductionTAFE SA pay deductionEFT YearlyEFT FortnightlyLIFE MEMBEROTHER Government Department

Employee number (if you are doing payroll deductions)

Location (building, office or home)*

Input the code:

*Required field