Membership Application for 2007-2008

(Note Annual Fees due no later than 1st October 2007-2008)

Full Adult Membership - $60.00

Junior (Up to the age of 18Years) - $30.00

Family membership - $100.00
(Mother/Father or Defacto and Children up to 12Yrs then either Junior or Adult membership required)
(Please state Name age of children- and Partner Name)
Associate member (Business/Sponsor) - $30.00
Name of Business_____________________ Nature of Business_________________
Sponsorship Offered_______________________________________________


(Existing Members: Please fill in again as membership list will be fully renewed for 2007-
Present Membership No._________________ (note only if you have an assigned number)
Surname____________________________
First Names______________________________
Current Address_______________________________Suburb__________________________
Phone Number_________________________
Mobile Number________________________
Email Address_________________________
_________________________________________________________________________
Type of Membership and Fee Paid (Please Circle)

Full adult Membership $60.00 Family$100.00 junior (12-18yrs) $30.00 Associate $30.00
Method of payment – Cash Cheque

Method you wish to receive your newsletter – Email     Post     None
Please make payment to the Club Treasurer no later than the 1st October 2007
Acting Treasurer - Jan McKain – 234 Upper Harbour Drive Greenhithe – 413-7103
(Note this section only has to be filled in for “New” members wanting to join the club)
New membership application (Note must be approved by committee before final membership approved)

(Fill in the above form)

Nominated By (I am a financial Member)

Name

Membership No.

Seconded By (I am a financial Member)

Name

Membership No.

Brief history about me;

MALTHOUSE FISHING CLUB GREENHITHE 2007-2008 CLUB FEES

(Receipt for Payment)

Date:         

Total Paid: $

Membership type:

Signed: Club Treasurer