Club Complaints

First name*

Last name*

Licence/Position (if applicable)

Postal address*

Suburb*

State*

Postcode*

Contact number*

Email*

Club*

Brief Description of Complaint*

Date Complaint Report to Club*

Date Response Received from Club

Please attach copies of your correspondence with the Club in accordance with section 3.2(b) of the Club Complaint Procedure Must be a JPG, PNG image, or a PDF file

I have read and understood the Club Complaint Procedure.

I understand that, by referring the complaint to RQ, RQ may contact the Club about the matters detailed in the complaint.

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Club Complaints

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