Membership Application

Application for Membership

I/We apply to become a Member of the Club in the Member Type selected below, and agree, if approved, to be bound by the Constitution and Rules of the Club.

Please print this page, complete and and forward with your payment based on the Membership Type selected to the address below.

Membership Types

Senior Membership (18 years of age upwards) - AU$20 per annum

Junior Membership (up to and including 17 years of age) - AU$10 per annum

Family Membership - AU$30 per annum

Overseas Membership - AU$30 per annum plus postage

Membership fees shall become due on March 1st each year. Applications received within three months from the end of the financial year (31st December) the membership, if approved, will be deemed to be until the end of the next financial year.

Name, Address and Contact Details

Membership Type

Last Name

First Name

Street or P.O Box

Town/City

State

Postcode

Country if Applicable

Home Telephone

Email

Signature

Date

Signature of Guardian for Junior Member

Cheque or Money Order made payable to Northern Rivers Finch Club Inc.
PO Box 872 Alstonville NSW 2477 Australia