Membership Enrolment Form

EARN VALUABLE REWARD FOR YOUR MONEY WHEN YOU STAY AT WATERCRESS HOTELS
First Name (required)
Last Name (required)
Address (required)
Date of Birth (required)
State of Origin (required)
Country (required)
Phone Number (required)
Email Address (required)
Signed Agreement
By signing this application form and/or first time usage of the Card, the member acknowledges and agrees to be bound by the terms and conditions.
Agreement Signed Date
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