DayoftheRoses.Membership

Name:

Address:

Suburb:                                                        State:                                  Postcode:

Phone: H(     )                                                W(     )                                          M(     )

Email:

There are two types of membership:
$10.00 p.a. full member (directly connected GTD family, survivor or rescuer)
$5.00 p.a. supporter (not directly connected)

Only full members have voting rights at meetings of the Association

Please tick one of the following: Donation * $5.00          $10.00          $20.00          $

Annual:                                       $10 Full Member                             $5 Associate Member

5 Year Membership:                     $50 Full Member                           $25.00 Associate Member

Direct deposit details: BSB: 032 078       Account: 75-6007
Bank: Westpac, Parramatta *
Reference: Your name & “Membership Type” or "Donation".

1. Please print this page or save it.
2. Fill it in and either email it to : secretary@dayoftheroses.com.au
3. Post to: P.O. Box 1150 Baulkham Hills NSW 1755

Membership is on a calendar year basis.

We look forward to your membership.

If you wish to become a member, fill in the form - print, and mail it attaching a cheque or make a direct deposit and send the form acknowledging that you have made a direct deposit into the account which appears below by ticking the box next account number. Paypal payments directly available by clicking on the appropriate icon.