__ Murray Clan Society of NSW

Application for Membership

_
Please print the details below and send with appropriate fee to The Secretary, Murray Clan Society of NSW, 10 Banksia Parade, Tuncurry NSW 2428


Annual Membership fee:  

   $5 individual
   $10  couple / family (includes children under 18)


Title:_______  Given Name:________________________________

Surname:________________________________________________

Address: ________________________________________________

Town/Suburb: __________________________________________

State: _______________               Postcode:_______________

Phone: _________________________________________________

Email: ___________________________________________________

I would prefer to receive my Newsletter by post/email  (circle preference)

Privacy

Our membership list exists to facilitate communication between members and to organise functions.The information will not be made available to any other bodies, unless we are legally obliged to do so.