Telling the Glenelg story
  Glenelg Historical Society Inc.
 
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 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

  

************************************************************************************************************
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

 

 

 

 

 
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