The Basque Club of North Queensland, Australia Inc.
P.O. Box 1135,
Castletown, Hyde Park QLD 4812
Email: basqueclubofnq@hotmail.com
ABN: 71 559 793 626
Australia
Dear Friend,
Thank you for your expression of interest in joining the Basque Club of Nth Qld, Australia. Please
find enclosed two forms for you to complete and return at your convenience.
The Basque Club is a cultural organisation which is proud to promote all things Basque.
Throughout the year, we hold several functions in which our members gather and celebrate
together. Members receive regular emails and newsletters informing them of events.
Our clubhouse is situated at the corner of Sabadine and Petunia streets in Aitkenvale (adjacent to
the P.C.Y.C). This is where the majority of our functions are held.
Club membership varies according to age. Each member is required to pay a $10 joining fee and
one year’s membership. Membership is renewed yearly.
Membership fees:
Adults - $20
Adults 60 yrs and over - $15
Adults 80 yrs and over – free
Children (up to 18 yrs) - free
Please return the attached forms to the above address.
Once again, thank you for your interest; we look forward to hearing from you.
Yours Sincerely,
Begoña Bengoa
(Secretary)
QUESTIONNAIRE
………………………………….
FAMILY NAME:
WIFE’S MAIDEN NAME:
………………………………….
CHRISTIAN NAMES:
………………………
WIFE:
HUSBAND: …………………..
POSTAL ADDRESS: ……………………………………………
…………………………………………...
………………………………………..
PHONE NO:
………………………………………..
Email address:
………………………………………………………………………………………
………………………………………………………
Please complete the following details of all family members (including
family members who are married with new surnames)
Christian name
Surname (if different
from above)
Sex
M/F
Date
of
birth
Address
Phone
BASQUE CLUB OF NORTH QUEENSLAND – AUSTRALIA INC
APPLICATION FOR MEMBERSHIP
I …………………………………………………………………..
of …………………………………………………………………
Hereby apply for ordinary membership of the BASQUE CLUB OF
NORTH QUEENSLAND – AUSTRALIA INC
I hereby tender my administration fee of $10.00 and my one year
membership fee
Adult - $20
Adult 60 yrs and over - $15
Adult 80 yrs and over – free
I confirm that my association with the Basque culture, local,
social and sporting activities is as follows:
Person of Basque origin
Associate of Person of Basque Origin
Person not of Basque origin but who supports the
Basque culture.
Person who is married to a person of Basque origin
Person who is married to a descendant of a person of
Basque origin.
Proposer: ………………………………..
Seconder: ……………………
Please forward in return address envelope to:
BASQUE CLUB OF NTH QLD – AUSTRALIA
P.O. BOX 1135
CASTLETOWN, HYDE PARK, QLD
4812