Existing Member
Enter your mobile number or email address and password below to access the member area where you can:
  • Update your details and preferences
  • Visit member links
  • Cancel Membership
Mobile Number:
or Email Address:
and Password:
Click here to retrieve your password
New Member
If you have not registered with us then please enter your details and preferences below then click the button marked "Register Me!".
First Name:
Last Name:
Gender: M F
Date Of Birth (dd/mm/yy): / / (year may be blank)
Mobile No:
Street Address:
Suburb/Town/City:
Postcode:
* Country:
State / Province / Region:
Member Number:
This password can be used to update your details or opt out of this membership.
* Password:
* Re-enter:
* Email:
receive SMS
receive email
receive mail
Maximum number of SMS you would want to receive in a week:
Employment:
Company NameBackpackerCorporateHealth
HospitalityRetailRuralStudent
Unemployed
Types of drinks enjoyed:
Local BeerPremium BeersWhite Spirits
Dark SpiritsRTDsWine
Type of music I enjoy:
HouseRnBTop 40RockLive musicRetro
AcousticJazz
My local sporting team is:
Other than Saturday night which night/s do you prefer to go out?
ThursdayFridaySunday
Have you ever eaten at Dom’s?
YesNo
Please notify me regarding:
VIP nightsMajor promotionsDrink promotions
Long weekendsLive music nightsMeal deals
Function facilitiesAll events
What is your favourite level to party at Dom’s:
Ground LevelLevel 1
Are you currently employed?
YesNo
Are you a student?
YesNo
If Yes, which Uni/Tafe/College:
* Are you a member of a Uni club?
YesNo
Are you a member of a Uni club? If yes, please list here:
* Favourite Music Styles:
HouseRetroCommercial DanceCover Bands
Original BandsAcousticRnBKaraoke
Alternative
* Are you happy to become a member of Dom's?
YesNo
If Yes, which nights?
ThursdayFridaySaturday
Do you want to win 10k?
YesNo
* I have read and understand all terms and conditions in regards to Dom's Apprentice.
Yes
 

Doms does not disclose any personal contact information provided on this form for use by a third party, in compliance with the National Privacy Act and relevant Anti Spam Act.