NORTHERN SUBURBS COUNTRY MUSIC CLUB Inc
MEMBERSHIP / RENEWAL FORM
Member No. ………………
NAME/S …………………………………………………………………………
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Membership Types ( circle membership type)
Single $15 Couple $20 Family $ 25 Student/Child $2
Pensioner /Concession $ 8 Pensioner/Concession Couple $15
Birthday(Day & Month only)
Name ………………………………………….Birthday…………………………..
Name …………………………………………..Birthday………………………….
I/We agree to abide by the Constitution, By Laws and Code of Conduct Northern Suburbs Country Music Club Inc.
Signature/s ……………………………………………..Date ………………………….
Proposed By …………………………..Seconded By ……………………………..
(For new members only)
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