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.
   

 

                        Casino & District Historical Society Inc.

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

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

ROSTER DUTY

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

Monday 10 am - 12.30pm ---  Yes - No

Wednesday 12 noon - 2.30 pm --- Yes -  No

Sunday 10 am - 12.30 pm --- Yes - No

State which week in the month would suit you to do a roster duty. ----