Join the Nashville Kangaroos

Your membership helps our non-profit organization to support footy and netball teams, and to provide additional services to the Australian-American social and business communities. Thank you for your participation!

Please complete all fields so we may better serve you.

 

Membership Application

 

Information sent via this form is not encrypted. Do not use it to send sensitive or confidential information. We will provide payment options separately.

Primary Member


first name:

last name:

telephone:

e-mail (required):

Select all that apply:

 

Questions? Membership types, benefits and player levels are explained here.

Additional Family Member (in same household)

 


first name:

last name:

telephone (if different):

e-mail (if different):

Select all that apply:

Household Info (applies to all on this application)

address:


city:

state/province:

zip/postal code:

country:

web site:

Details
To make a membership gift for an for individual who is not part of your household, provide a name, e-mail, telephone and member type for the recipient of your gift. We may contact you or the recipient for additional details.

You may contact me about events related to Nashville Kangaroos, Inc. and its mission:

 

Your total will be: $0.00