Membership Application Form
(Please use block Letters)

Name: …………………………………………………………………………
(First names) (Surname)

Address: …………………………………………………………………………

Suburb/Town: …………………………. Postcode: …………………

Phone (H) …………… Wk…………………

E-mail: ……………..……………………..

Signature: ………………………………………………

Please notify the Secretary of any change of address

Please send to The Secretary;

Rena; PO Box 236, Kingsway, WA 6065.

New Members: Family $34-00 Single $22-00 JuniorMember: $12
Renewal: Family $20-00 Single $15-00 Junior $7
Cost of New Members name badges included in New Member fees
For further information, please ring the Secretary on 9405 8759