Form 1

/ Diamond Valley Bushwalking Club Inc. A0010907B
PO Box 536
ELTHAM VIC 3095
Affiliated with Bushwalking Victoria
WEBSITE:

NEW MEMBER APPLICATION

After completing two qualifying walks within3 months (list below), obtain two nominations, select membership fee type and send completed form either with your payment or indicate payment made via EFT (details below) to:

The Secretary, Diamond Valley Bushwalking Club, P.O. Box 536, Eltham 3095

APPLICATION (PLEASE PRINT NAME & ADDRESS)
I ...... of ......
...... (address)
desire to become a Member of Diamond Valley Bushwalking Club Inc . I have previously submitted/submit herewith a signed Prospective Member Registration to the Club and paid/pay herewith the Prospective Member registration fee. In the event of my admission as a member, I agree to be bound by the Rules of the Association for the time being in force.
Signature: / Date:

I have attended the following Club walks to qualify me to apply for membership:

DATE / WALK / LEADER’S NAME / LEADER INITIALS
1
2

Please complete the following before submitting to the Club.

NOMINATIONS

I, ...... , a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.

Signature: / Date:

I, ...... , a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.

Signature: / Date:
Membership Fees: / Payment Details
1 December to 30 November $35.00
*1 August to 30 November$12.50
*Reduced Pro rata fee applies if membership application is made in this period. / By Electronic Funds Transfer (EFT)
Account Name: Diamond Valley Bushwalking Club
BSB:083-232
Account: 02 761 5451
Reference:‘Your Surname’ Membership
Official use only: / Receipt for subscription / Yes/No / Receipt No:
Money to Treasurer/ EFT payment received / Yes/No / Date:
Formsto Secretary / Yes/No / Date:

26 September 2017 1_DVBC_newmemberapplication