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