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APPLICATION FOR MEMBERSHIP
of the Rainbow Sash Movement (Australia)
 The Rainbow Sash Movement, P O Box 178, Elwood 3184, Australia, Ph +61 (03) 59853922
(Do not be concerned if you are unable to arrange the other signatures. We can arrange that at this end.)

I,.................................................................................................................

(full name of applicant)

of.................................................................................................................

(address)                TELEPHONES: ------------------------------------------------

....................................................................................................................

(occupation)                                                                           E-mail.........................................

desire to become a member of The Rainbow Sash Movement Incorporated.

In the event of my admission as a member, I agreed to be bound by the Rules of the Association for the time being in force.

...............................................................(signature of applicant) on………………………………(date)

I,............................................………………..........., a member of the Association,

(name)

nominate the applicant,. who is personally known to me, for membership of the Association.

I,............................................................(signature of proposer) on................................................(date)

I, .……………........................................................., a member of the Association,

(name)

second the nomination of the applicant, who is personally known to me, for membership of the Association.

………….............................................. (signature of seconder) on................................................(date)

The PLEDGE:

I fully support the Purposes of the Association & the Foundational Documents.

That is:

…………...............................................(signature of applicant) on.....……………………………(date)

Membership Subscriptions: $30 Full, $20 Concession (Australian dollars)

Cheques can be made paid payable to "The Rainbow Sash Movement"

Address : The Rainbow Sash Movement, P O Box 178, Elwood 3184, Australia


This page was last updated: 11/02/2007