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WAIHI MEMORIAL R.S.A. (INC)

 

APPLICATION FOR MEMBERSHIP (ALL MEMBERS)

 

APPLICANT: TITLE   Mr., Mrs., Miss, Ms (Delete what does not apply)

                                   

                                    SURNAME ……………………………………………   (Please Print)

 

                                    CHRISTIAN NAMES……………………………………………..

 

                                    Address…………………………………………………………….

 

                                    Date of Birth:                /           /          

                                    (optional-to be used in lucky birthday draws run by the Club)               

 

                                    Phone Number……..……………………….E/Mail address………………………

 

                                    Signature………………………………………..         Date……………………

 

Type of member applied for: e.g. RETURNED / SERVICE / ASSOCIATE  

                                                            (Delete what does not apply. Important that this is done.).

RETURNED AND SERVICE MEMBERS MUST PRODUCE DOCUMENTARY EVIDENCE OF

THEIR STATUS.

 

RETURNED/SERVICE MEMBERS:  Please fill out the following particulars.

 

Regiment/Service No:        ……………………………….......

 

Units Served:         ………………………………………………………………………..........

 

Areas of  Service:………………………………………………………………………….........

 

Next of Kin (optional): Name:…………………………………………………………………....

 

                                    Address…………………………………………………………………..

 

PRESIDENT……………………………………..      DATE…………………………………..

 

 

1. The appropriate subscription will be payable (to accompany this application) but will be returned if this   application is declined.  The subscription is $20.00 (twenty dollars), with exception of

         

Returned Members ($15) and Returned Members 80 years and over - No fee.

2.  Applicant will be advised in due course of Committee’s decision.

3.  It is to be further noted that the Committees decision is final and no correspondence will be entered into, nor  reason given in the advent of the application being declined.

           

If you want to receive a copy of the R.S.A. Review in the post please see the Office Manager.

Copies will be available at the Club for members if they want them