Application for Membership of the Sydney Schubert Society Incorporated
I wish to become a member
of Sydney Schubert Society Inc. for year …… and agree to be bound by its rules.
I enclose a cheque for Ordinary Member $30, Concession $25, Double $55, Life $250,
Donation $……. Totalling $……
Tick one only: New Membership
□ Renewal
□
NAME/S: Dr/Mr/Ms/Mrs/Miss/other (please
specify)
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ADDRESS:
POSTCODE:
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PHONE(S):
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EMAIL:
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Please send cheques, made payable to Sydney Schubert
Society Inc, to: Mr Bob Smith,
Honorary Treasurer, Sydney Schubert Society Inc,
20 Annie Street
, Hurstville 2220
Please tick the appropriate boxes below:
I might be able to help with:
□ catering □ newsletter mail out □ other, namely……………
SIGNATURE
……………………………………………………. DATE ……/……/20….
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