Premier Club Membership Application

A kangaroo amid bushes at Cape Willoughby

The SeaLink Travel Group’s “Premier Club” program offers discounted ferry fares to persons living on the mainland that own property/land on Kangaroo Island.

To become a Premier Club Member, the below details must be completed and submitted to the SeaLink Travel Group with a copy of the land/properties' current Kangaroo Island Council Rates that shows the VG Number.

Premier Club Applications can take up to 5 business days to process from the date received. For any queries regarding your Premier Club Application, please contact our Kingscote Office either by telephone (08 8551 7222) or by email ([email protected]).

Please note that a copy of your current Kangaroo Island Council rates showing the VG Number must also be supplied either by:

* Attaching it to this document at the bottom of the page
* Post: 76 Dauncey Street, Kingscote, SA, 5223
* Fax: 08 8553 3266
* Email: [email protected]

Premier Club Membership Application

Name of the Person completing the Premier Club Application *

First Name

Last Name

Name of Premier Club Membership (if different to the above)

Name of Spouse

First Name

Last Name

Mainland Postal Address

Street Address

Address 2

City

ZIP / Postal Code

State / Province

Country

Email Address

Mobile

Home

Work

Kangaroo Island telephone contact

Australian Concession Card Holders

Yes - we hold concession cards

No - we do not hold concession cards

Please list names of concession holders:

Full Name

Concession Card Number

Expiry Date

Name

Full Name

Concession Card Number

Expiry Date

Dependant children/full-time students under 25 years

Yes - I have dependant children/full-time students under 25

No - I do not have dependant children/full-time students under 25

Please list all children / full-time students under 25 years of age that are dependent:

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Name

First Name

Last Name

Date of Birth

Please email the requested documents to [email protected]

Other comments / changes

Premier Club Terms & Conditions

I agree to the SeaLink Kangaroo Island Terms & Conditions as listed on the SeaLink Kangaroo Island website.