Friends Getting Together Incorporated (A0045974S)

Membership Application Form

Name

First Name Family Name

Contact Details

Street Address Suburb Postcode

Email Address

Telephone Number Mobile Telephone Number

Payment

The cost per year is $45 if the newsletter is sent by e-mail, or $67 if the newsletter is sent by Australia Post.

It is essential that the payment record identifies the payer. When making an on-line transfer please include your name and the words "new member" in the payment description. When making your transfer at a bank, please ask the teller to do so.

I have transferred the relevant amount to Friends Getting Together's account at Bendigo Bank, BSB No.633000, Account No. 163475841.

Date that transfer was made:

Amount remitted:

Other Details

I require the newsletter to be sent by:

My interests are

If you do not wish to have your birthday acknowledged in the club newsletter leave this section blank. My day and month of birth are

Day and month

With assistance, I would be happy to host 1 or 2 events each year.

I found out about Friends Getting Together from

I wish to become a member of Friends Getting Together Inc. and if I am admitted, I will support its purposes, comply with the Rules of Association and accept the conditions of membership.