GLENELG HISTORICAL SOCIETY INC.
PO Box 1047, GLENELG SOUTH SA 5045
E: glenelghistory@gmail.com.au
Membership Application Form
Applicant (1)__________________________________________
Applicant (2)__________________________________________
Address_____________________________________________
_________________________________________P/code_____
Telephone_______________________
Mobile__________________________
Email__________________________@____________________________________
Please note: Glenelg Historical Society prefers to use email for all correspondence.
I/we agree to abide by the Constitution and Rules of Glenelg Historical Society Inc. and pay annual membership as required. I/we agree that Glenelg Historical Society Inc. may keep my/our contact details for the purpose of mailing information or as may be required by the constitution/membership data-base.
Signature Applicant 1___________________________________
Signature Applicant 2____________________________________
Annual Membership Fees
- Individual ($15)
- 2 or more individuals at same address ($10 each)
- Corporate ($50)
(exempt from current financial year fee if joining between 1st April and 30 June).
TO JOIN:
Complete this application form and POST, or EMAIL a (signed) image to glenelghistory@gmail.com
Payment can be made by:
1. Cheque – please post to PO Box 1047, Glenelg South SA 5045 or,
2. Direct deposit/credit at any branch of NAB. The Society’s bank account number is 085221 199265873 (please include your surname as the reference) or,
3. Cash when attending one of our events
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Membership Renewal 2016/17
- Individual ($15)
- 2 or more individuals at same address ($10 each)
- Corporate ($50)
Member (1)__________________________________________
Member (2)__________________________________________
Renewal Subscription Amount paid $ ______________
Donation $________________
Total Subscription & Donation $________________
To renew please complete this form and POST or EMAIL an image to glenelghistory@gmail.com
Payment can be made by:
1. Cheque – please post to PO Box 1047, Glenelg South SA 5045 or,
2. Direct deposit/credit at any branch of NAB. The Society’s bank account number is 085221 199265873 (please include your surname as the reference) or,
3. Cash when attending a Glenelg Historical Society event.
Communications:
The Society prefers to use email for regular communications.
Please advise/confirm your email address to receive information:
_____________________________@_________________________
Telling the Glenelg Story