Membership form

Heritage Draught Horse club Inc. A0059949K

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

Full membership

TITLE___________________________ SURNAME: __________________________________________

GIVEN NAMES: ___________________________________________________________________________________

PROPERTY:______________________________________________________________________________

ADDRESS:________________________________________________________________________________

CITY/TOWN________________________________________________________________ POSTCODE___________

PHONE:____________________________________ MOBILE:_____________________________________________

EMAIL:________________________________________________________ FAX:_____________________________

Do you want your details published?   YES or NO (circle the appropriate selection)

 

MEMBERSHIP CATEGORY (Please tick appropriate box below)

Associate members

 Name_________________________________________________relationship______________

Extra family member

Name_________________________________________________relationship______________

Name_________________________________________________relationship______________

Name_________________________________________________relationship______________

Name_________________________________________________relationship______________

 

Full Membership (member has voting rights)                                                                  $65.00 pa*

Associate membership (full members partner -  no voting rights)                              $20.00 pa

Extra family member                                                                                                              $5.00 pa

Family membership   (Parents or Guardians and 2 Immediate Children up to Age 18)         $95.00 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

In message box please include surname and year (Eg Smith 17/18)  Written receipts by request only.

Please 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:

Date received                            Amount received                        Type of payment

Membership number

Card:  Subscription Changes                                          Mail List: Subscription Changes

Hi!
Make your own website like I did.
It's easy, and absolutely free.
AD