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Casino & District Historical Society Inc.

Membership Application Form

 


Casino & District Historical Society Inc
PO BOX 818 CASINO NSW 2470

Ordinary Membership

All applications will be tabled for approval at the next council meeting following receipt of completed form. Persons not known to the society will be considered for membership. However we will require further information which may assist us in making an informed decision. For example: if member of another historical society, character reference or a personal statement of interest in joining our society.
   

Ordinary Member
$15.00 per year - includes GST

$25.00 Couples - includes GST

 

                        Casino & District Historical Society Inc.

                          MEMBERSHIP PAYMENT SLIP
Date.............................................................................................................
Name...........................................................................................................
Address.........................................................................................................

Amount enclosed..........................................................................................

ROSTER DUTY

 I would like to make myself available for roster  - please tick Yes or No :