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 APPLICATION FOR MEMBERSHIP OF ASSOCIATION

U3A DENILIQUIN INC

Incorporated under the Associations Incorporation Act 2009

I, ________________________________________________________________________

(full name of applicant)

of _______________________________________________________________________

(address)

Telephone________________________________or Mobile:______________________________

Email_________________________________

Hereby apply to come a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the Constitution of the association for the time being in force.

Signature:_________________________________      Date: ___/____/___

Date joined: ________________                               Receipt No:___________

 

 

Print Version Click here: Membership Renewal Form