 MEMBERSHIP APPLICATION FORM |
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MEMBERSHIP APPLICATION FORM |
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| TO: | HON. SECRETARY BRISBANE ORCHID SOCIETY INC. P.O. BOX 94 STONES CORNER QLD 4120 |
I wish to become a member of The Brisbane Orchid Society and, if elected, agree to abide by the Rules and By-Laws of the Society. I understand that the subscription per calendar year is as listed below and that such subscription becomes due on 1st January each year and is payable before 1st February for that year.
| SUBSCRIPTION: | Single and Family Membership both $20.00. |
| Junior Membership $10.00 (under 16 years of age) |
| NOTE: | The applicable subscription fee must accompany this application. Membership fees above are for Australian residents only. All others should request the current applicable subscriptions rates from the secretary. |
| Yours faithfully, (Signature) |
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| NAME(S) | ________________________________________________ | ||
| ADDRESS | ________________________________________________
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| POSTAL ADDRESS IF DIFFERENT | ________________________________________________
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| PHONE NUMBER | _________________ | _____________________ | |
| I wish to receive my newsletter by email | Yes o / No o |
| Please tick Membership type | Single o / Family o / Junior o |
| Number of years growing orchids | ___ |
Brisbane Orchid Society use only
| Proposed by: | _______________________________ |
| Seconded by: | _______________________________ |
| Admitted to the Society on | __/__ /____ |