The Braidwood & District Historical Society Inc.
186 Wallace Street, PO Box 145, NSW 2622.
Telephone (02) 48422310
Email braidwood@westnet.com.au

APPLICATION FOR MEMBERSHIP

Name _______________________________________________________________________________

Address ____________________________________________________________________________

_________________________________________________________________________________

Phone __________________ E-mail ______________________

Subscription Fee $15 per person or $25 per family.

Paid Cash_______or Cheque______

I HEREBY APPLY TO BECOME A MEMBER OF THE BRAIDWOOD AND DISTRICT HISTORICAL SOCIETY INC. I AGREE TO BE BOUND BY THE RULES OF THE SOCIETY.

______________________________________________________________________________________
Date Signature of Applicant

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OFFICE USE ONLY

Committee Meeting Acceptance Date_____________________________________________________

1. New Members’ Letter - Rahnee Action Date

2. Enter Members’ Card Register - Rahnee Action Date

3. Computer Membership Listing - Rahnee Action Date

4. Subscription to treasurer paid cash or cheque Postal or Desk

NB! This form to be lodged at the next committee meeting. If this form is lodged at the reception, Volunteer please place in office manager’s folder, enter subscription money on the day sheet & put it in the till