Membership Application

If you wish to send us an application form by mail instead, please download and print application form here.

Fields marked with * are required.

Title* First Name* Surname* Street Address* Suburb/Town*
State* Postcode* Phone Number Email Address* Date of Birth (dd/mm/yyyy)*

I do not want to receive mail (please tick)
I do not want to receive email (please tick)

* I will abide by the rules of membership of The Grand Rewards Program and confirm that I am 18 years of age or older.

Security* (Please enter the solution in the box below.) 3 plus 5 equals?

The Grand Hotel, Labrador requires this information to enable us to ascertain and record the bonus dollars and benefits for which you become entitled under the Grand Rewards Program, and to enable the redemption of these benefits and rewards. We may disclose this information to any organisation that supplies us with services to assist in coordinating Grand Rewards. The Grand Hotel intends to communicate regularly by mail/email with Grand Reward members to notify them of upcoming events and promotions. We would like to be able to contact you to provide this information service. Please indicate below if you do not want to be included on our mailing list. You may access the information we hold about you or unsubscribe from the mailing list at any time.