Membership Application

Applicant Details

Name:

email address:

Address:

Postcode:

Phone No - Work:

Home:

Machine Register

Year

Model(eg B40 Army)

Condition(eg tidy original)

I have read the BSA Club of NSW's constitution and agree to abide by its' conditions

Signed:

Date:

Membership is $20 per year, payable by the January general meeting.

This is calculated on a quarterly pro-rata basis ($5/quarter) for new members

A $10 joining fee applies.

Office Use Only

Secretary

Treasurer

Membership Secretary

Date

Receipt No

Signed