Membership Application


Queensland Begonia Society Cheque Payment

Please print and fill out the following form.

THE QUEENSLAND BEGONIA SOCIETY INC

APPLICATION FOR MEMBERSHIP

FEES: CALENDAR YEAR: 1 JAN ― 31 DEC SINGLE $25
FAMILY $30
HALF YEAR: 1 JUL ― 31 DEC SINGLE $12.50
FAMILY $15
INTERNATIONAL FEES (in Australian Dollars):
CALENDAR YEAR: 1 JAN ― 31 DEC $35
HALF YEAR: 1 JUL ― 31 DEC $17.50

(PLEASE PRINT CLEARLY) SURNAME (Mr Mrs Miss Ms) ……………………………

GIVEN NAME(S) ………………………………………………………………………………………….

ADDRESS ……………………………………………………………………………………………………

…………………………………………………………………………………………………………………….

…………………………………POSTCODE ………………… TEL (…….) ………………………….

PLEASE SEND COMPLETED FORM AND PAYMENT (Cheque made payable to

The Queensland Begonia Society Inc) TO THE TREASURER, MR G RIDLEY

3888 HAMPTON-ESK ROAD, RAVENSBOURNE, QLD 4352 AUSTRALIA

$________ PAYMENT SUBMITTED (in Australian Dollars)

I/We agree to be bound by the Constitution and By Laws of this Society.

In the case of family members, all should sign the application.

Please also show below which person is to be recorded as the voting member (only one).

VOTING MEMBER NAME …………………………………………………………………..

PRIVACY: Do you wish your name, address and phone number to appear in the printed list of members? (YES NO)

SIGNATURE ……………………………………………………………… DATE ……………………………….

SIGNATURE ……………………………………………………………… DATE ……………………………….

3 Comments

3 thoughts on “Membership Application

  1. Pingback: Greetings! | Queensland Begonia Society

  2. Pingback: Queensland Begonia Society | SoundEagle

  3. Pingback: Queensland Begonia Society ღೋ | SoundEagle

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