Membership Form
Please 
Print This Page this page, complete and post to PO Box 839 Tweed Heads 2485
 |
Tweed Heads Historical Society Inc. Pioneer Park, Kennedy Drive, Tweed Heads, NSW, AUSTRALIA Open 11AM-4PM DST Tuesday and Friday (excluding Public Holidays) Sundays 1PM to 4PM DST |
Membership Form TWEED HEADS HISTORICAL SOCIETY INC. (incorporated under the Associations Incorporation Act 1984)
I, ________________________________________________________________________________
(full name of applicant)
of ________________________________________________________________________________
(address)
telephone number _______________________ occupation ____________________________________
hereby apply to become a member of the TWEED HEADS HISTORICAL SOCIETY INC. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force.
……………………………………………………………………………… Date: …….. /…….. / 20……….
Signature of Applicant
Single Membership – $20 per annum Joint Membership – $25 per annum
I, ________________________________________________________________________
(full name)
a member of the association, nominate the applicant, who is personally known to me, for membership of the association.
……………………………………………………………………………… Date: …….. /…….. / 20……….
Signature of Proposer
I, ________________________________________________________________________
(full name)
a member of the association, nominate the applicant, who is personally known to me, for membership of the association.
……………………………………………………………………………… Date: …….. /…….. / 20……….
Signature of Seconder
————————————————————————————————————
Office Use Only: Date Approved …………………………..
Receipt No. …………………………..
APPLICATION FOR MEMBERSHIP