2013-Associate-Membership

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The R.A.N. Ski Club
A.B.N. 24 004 590 569
ASSOCIATE MEMBERSHIP APPLICATION FORM – 2013
Application for
ASSOCIATE and/or
FAMILY MEMBERSHIP (see reverse)
(tick desired category or categories)
Applicant’s Surname……………………………………. Given Names…………………………………………..
Rank/Title………………..Personal/ PMKeys No………………..Date of Birth……………………
Occupation……………………………..
Army/RAAF entry date………………………….
Army/RAAF Discharge date………………………………
Home Address
………………………………………..
Telephone (Home)………………………….……..
………………………………………
Telephone (Work)………………………………….
………………………………………..
Mobile Phone .……………………………………..
………………………………………..
E-Mail Address…………….……………………….
Details of Spouse and Children under 21 years for whom FAMILY MEMBERSHIP is sought:
Surname
Given Names
Relationship
Date of Birth
…………………………….
…………………………
…………………………….
…………………………
Child
……………….
…………………………….
…………………………
Child
……………….
…………………………….
…………………………
Child
……………….
Spouse
………………
I hereby apply ASSOCIATE MEMBERSHIP* of The R.A.N. Ski Club. I believe I am eligible under Article 24 (see over) of the
Club’s Constitution. If elected, I agree to abide by the Club’s Rules and I consent to the information provided in this renewal
form being used to keep me up to date on activities of the R.A.N. Ski Club
Signature of Applicant……………………………………………Date…………………..
----------------------------------------------------------------------------------------------------------------------------------------------------I am liable for the joining fee of $185 and the initial subscription(s) of $……………….(see reverse)
PAYMENT BY:
Money Order
Cheque
Mastercard
Bankcard
Card Number
VISA
Expiry Date
CARDHOLDER DETAILS:
Name:…………………………………………… Signature…………………………………………………..
_________________________________________________________________________________________
NOMINATION
We, the undersigned, being financial ORDINARY MEMBERS of The R.A.N. Ski Club, nominate
……………………………………….for ASSOCIATE/FAMILY MEMBERSHIP* believing him/her to be a fit and proper person
and to be eligible under Article………..
Name (print)
Proposed:…………………………………..
Signature
………………………….
Member No
……………
Seconded:………………………………….
………………………….
……………
*Delete as applicable
----------------------------------------------------------------------------------------------------------------------------------------------------------
Membership Approved / Not Approved
Date
Membership Sec
FEES, SUBSCRIPTIONS AND ELIGIBILITY CRITERIA
Schedule of Fees for 2013
(including GST)
(subject to alteration without notice)
Joining Fee (one only):
Annual Subscription:
Per person Family maximum -
$185
$125
$435
Note: Joining fee is paid by Associate member only (ie it is not paid by spouse or children)
Associate Membership (Article 24) see * below
Associate Membership may be granted to:
a. members and former members of the Australian Army, the Royal Australian Air Force, and
their Reserves & current APS members working in the Department of Defence;
b. the spouses of deceased Ordinary Members, Honorary Life Members, or Associate Members;
c. the former spouses of Ordinary Members, Honorary Life Members, or Associate Members;
d. the children of Ordinary Members, Honorary Life Members, or Associate Members who are
no longer eligible for Family Membership as a consequence of attaining the age of 21 years; and
e. persons who are not eligible for any other category of membership; and have rendered
services to the Club or who, in the opinion of the Directors, would be in a position to render
services to the Club
Family Membership (Article 27) see * below
Wives or husbands of Ordinary, Honorary Life and Associate Members and the children of these
members, while such children remain between the ages of four and 21 years, shall be eligible for
election as Family Members.
* Please tick the box alongside your desired membership category and claimed eligibility.
Reference
All applications for Associate Membership from other than Army, RAAF and Defence APS applicants must be
proposed and seconded by Ordinary members of the Club. Any applications not proposed and seconded will be
returned to the applicant and will not be processed further.
_________________________________________________________________________________________
FINAL CHECKLIST
Application completed in detail
Payment of joining fee and/or annual subscription attached/authorised.
Proposer’s written reference attached if required. Optional for those who qualify under a, b, c or d above,
but required for others (c above)
.
Mail to:
Membership Secretary
PO Box 3484
Manuka ACT 2603
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