Save Our SBS Inc Membership Form One Form Per Person

Save Our SBS Inc – membership form – one form per person

This form is available at: http://saveoursbs.org/wp-content/uploads/2014/08/Save-Our-SBS-Inc-membership-form.docx

This form was designed for interactive use in MS Word, on a desktop computer. It may not be suitable for mobile devices.

We prefer new memberships and renewals are done online at SaveOurSBS.org → Membership (http://saveoursbs.org/membership) however if you do not have a credit card or PayPal account, then use this form for:-

 New membership applications, or

 Existing membership renewals.

MS Word users may type directly into the expandable boxes Otherwise print this form & handwrite your answers

DATE Member ID Number (if existing)

Place an X in two only appropriate boxes

New Application Existing Member Renewal Associate Membership does not have voting rights $15 per person per financial year or part year Full Membership has full voting rights $20 per person per financial year or part year

Payment is to end of financial year except a June payment will be applied on 1 July following.

You decide which membership to take out – except for persons under 15 years who may only join as an associate member.

Membership is subject to the Rules of Save Our SBS Inc – at SaveOurSBS.org → About (http://saveoursbs.org/about-us).

Contact details Name Address

Town/suburb Postcode Comment (optional) Phone 1 Phone 2

EMAIL ◄ Official correspondence will be by email

Payment A. If paying by cheque, make your cheque to Save Our SBS Inc. On the back of the cheque, print– membership fee for Post your cheque to Save Our SBS Inc, PO Box 2122, Mt Waverley, VIC 3149 Place an X in appropriate box My payment is by cheque Yes No B. If not a cheque, then pay then pay in person at any Bendigo Bank or by direct banking to:- Bank: Bendigo Bank BSB: 633-000 Account No: 133450247 Account Name: Save Our SBS Inc If you are asked for a description of payment, please answer Member Fees Place an X in appropriate box My payment is direct to the bank above Yes No

SaveOurSBS.org supporters & friends of SBS

A0051182D Save Our SBS Inc – membership form – one form per person

This form is available at: http://saveoursbs.org/wp-content/uploads/2014/08/Save-Our-SBS-Inc-membership-form.docx Where to send this form 1. Post a fully answered printed copy to Save Our SBS Inc, PO Box 2122, Mt Waverley, VIC 3149, and / or 2. Email as an attachment from your email address, the one you gave above. If emailing, save this document with your answers → Save As or as a PDF then email to [email protected]

SaveOurSBS.org supporters & friends of SBS

A0051182D