PLEASE ENROL ME AS A MEMBER OF CLAN MUNRO (ASSOCIATION) AUSTRALIA
I NOTE THAT THERE ARE DIFFERENT CATEGORIES OF MEMBERSHIP AND THAT ALL INCLUDE MEMBERSHIP OF THE
PARENT ORGANISATION IN SCOTLAND. I NOTE THAT PART OF MY SUBSCRIPTION GOES TO THE PARENT ASSOCIATION
IN SCOTLAND. I HAVE ENCLOSED THE APPROPRIATE SUBSCRIPTION FOR THE CURRENT CALENDAR YEAR.
CALENDAR YEAR MEMBERSHIP AUD$ 25.00 SPOUSE OR CHILDREN OF MEMBER UNDER 18 YEARS AUD$ 8.00*
THREE CALENDAR YEARS AUD$ 55.00 SPOUSE OR CHILDREN OF MEMBER UNDER 18 YEARS AUD$ 20.00*
TEN CALENDAR YEARS AUD$160.00 SPOUSE OR CHILDREN OF MEMBER UNDER 18 YEARS AUD$ 70.00*
LIFE MEMBERSHIP (TERM OF LIFE SUBSCRIPTION IS CALCULATED ACCORDING TO AGE AS FOLLOWS)
UP TO 40 YEARS OLD 3x10 YEAR SUBSCRIPTION AUD$480.00
40 TO 49 YEARS OLD 2x10 YEAR SUBSCRIPTION AUD$320.00 PLEASE CIRCLE THE TYPE
50 TO 59 YEARS OLD 1.5x10 YEAR SUBSCRIPTION AUD$240.00 OF MEMBERSHIP FOR WHICH
60 TO 79 YEARS OLD SAME AS 10 YEAR SUBSCRIPTION AUD$160.00 YOU ARE APPLYING.
80 YEARS AND OVER HALF 10 YEAR SUBSCRIPTION AUD$ 80.00
FULL NAME AND CONTACT INFORMATION (Use block capitals please)
NAME _______________________________________________________ AGE _________
SPOUSE _______________________________________________________
POSTAL ADDRESS NUMBER & STREET ______________________ __________________________________
SUBURB/LOCALITY _________________________________________________________
CITY __________________________ STATE _________ POSTCODE __________
PHONE WITH AREA CODE (Optional) ___________________________________________________________
EMAIL ADDRESS (Important so that the Association can reduce costs to provide receipts, information and newsletters, and
enable approved inter-member contacts)
____________________________________________________________________________
PAYMENT ENCLOSED [Indicate type of membership and the total amount enclosed. Please consider Note 6 below.]
[Make payable to Clan Munro (Association) Australia]
CHEQUE AMOUNT MONEY ORDER AMOUNT
AUD$ _____________ AUD$ _____________
IF YOU ARE ALREADY A MEMBER OF CLAN MUNRO (ASSOCIATION) SCOTLAND
PLEASE PROVIDE YOUR MEMBERSHIP NUMBER _______________
THANK YOU FOR YOUR SUPPORT THROUGH MEMBERSHIP. PLEASE NOTE THE FOLLOWING:
1. I PLEDGE THAT IN BEING OFFERED MEMBERSHIP OF THE ASSOCIATION I WILL SUPPORT ITS ENDEAVOURS
AND THE CONSTITUTION OF THE ASSOCIATION AS PUBLISHED ON THE WEBSITE.
2. ON RECEIPT OF YOUR APPLICATION THE CHIEF OFFICER OF THE ASSOCIATION WILL CONTACT YOU AND PROVIDE
FURTHER INFORMATION ABOUT YOUR MEMBERSHIP AND HOW YOU CAN HELP THE ASSOCIATION.
3. CORRESPONDENCE FROM THE ASSOCIATION WILL BE SENT ONLY TO THE FULL MEMBER IN THIS CATEGORY*
4. MEMBERS ARE ENCOURAGED TO USE EMAIL BUTTONS IN THE WEBSITE TO CONTACT THE CHIEF OFFICER.
5. I UNDERSTAND THAT THE CHIEF OFFICER WILL CONTACT ME WHEN MEMBERSHIP RENEWAL COMMENCES.
6. DONATION (Optional) IN ADDITION TO THE MEMBERSHIP FEE PLEASE CONSIDER TO INCLUDE IN THE PAYMENT A
SMALL DONATION TO BE USED TO ASSIST WITH THE OPERATING COSTS OF THE ASSOCIATION.
SIGNED _______________________________________________ DATED ______________________
I declare the facts set forth in this Application are true to the best of my knowledge and belief.
PLEASE STATE HOW YOU HEARD ABOUT CLAN MUNRO AUSTRALIA
AND OBTAINED A MEMBERSHIP APPLICATION ________________________________________________________________________
TO PRINT this Form go to Browser dropdown menu 'File' and then to 'Print'.
Clan Munro (Association) Australia
Membership Application for Clan Munro (Association) Australia & Scotland
PRINT AND POST TO : CHIEF OFFICER
CLAN MUNRO (ASSOCIATION) AUSTRALIA
18 SALTER ROAD
MOUNT NASURA
WA AUSTRALIA 6112