APPLICATION FOR MEMBERSHIP or RENEWAL FOR THE YEAR 20…….
IF ANNUAL SUBSCRIPTIONS ARE NOT PAID BY 30TH June MEMBERSHIP LAPSES MAKING A MEMBER NON-FINANCIAL AND THEREFORE, NOT ABLE TO VOTE AT ANY MEETING –
OR TO PARTICIPATE IN ANY Heritage Draught Horse Club inc GET TOGETHER OR EVENT
TITLE___________________________ SURNAME: __________________________________________
GIVEN NAMES: ___________________________________________________________________________________
Do you want your details published? YES or NO (circle the appropriate selection)
MEMBERSHIP CATEGORY (Please tick appropriate box below)
Extra family member
Full Membership (member has voting rights)
Family membership (Parents or Guardians and 2 Immediate Children up to Age 18) $85.00 pa
* Please note the Clubs Membership Years runs from July 1st
to June 30th
Please make cheques payable to Heritage Draught Horse club Inc.
and remit to The Treasurer, 365 Old Melbourne Rd Traralgon 3844
or Direct Debit: Acc. Name - Heritage Draught Horse Club Inc. BSB: 633000 Acc.No. 150509800
message box please include surname and year (Eg Smith 17/18) Written receipts by request only.
select from the following before signing the form (circle the appriate selection)
I/We hereby apply for renewal of membership in Heritage
Draught Horse Club Inc. and agree to be bound by the rules of the Association for the time being in force.
I/We are new members to the Club and agree to be bound by the rules
of the Association for the time being in force.
I/We do not wish to renew membership and tender our resignation from the Club.
Signature of Applicant(s)____________________________________________Date______
FOR OFFICE USE ONLY Receipt No:
Amount received Type of payment
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