APPLICATION FOR MEMBERSHIP OF MORUYA COMMUNITY FILM GROUP INC
The Treasurer
PO Box 828
MORUYA, 2537
President: Katy Goddard 4473 6010
Secretary: John Wiegold 4474 4999 email: moruyacommunityfilm@gmail.com
To become a member please print this page, complete the form and mail with your remittance
($60 for 12 months or $35 for 6 months) to the Treasurer as above, or bring to our next screening.
I, ............................................................................................................................................
(full name of applicant) of ..........................................................................................................................................
(contact address)
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(town)
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(postcode)
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(telephone)
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(email address) hereby apply to become a Member of Moruya Community FILM Group Inc..As a member, I agree to be bound by the rules of the Group as shown in the Membership Section of the website.
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(signature of applicant)
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(date of application)
Applicants - please note: Information disclosed on this form is given only in applying for membership,
and for record maintenance and communication of Group matters. Under no circumstances will this information be disclosed to a third party for any reason.
Contact details: Secretary 4474 4999. President 4473 6010. See further information at our website: www.moruyafilm.org.au