APPLICATION FOR MEMBERSHIP (ANNUAL SUBSCRIPTION $15) I (Full name of applicant) of (Full home address) Email address: Telephone/Mobile: hereby apply to become a member of MURWILLUMBAH HISTORICAL SOCIETY INC. In the event of my admission as a member, I agree to be bound by the rules of the Society for the time being in force. My $15 membership fee is attached. Signature of Applicant Date I a member of the Murwillumbah Historical Society Inc. nominate the applicant, who is personally known to me, for membership of the Society. Signature of Proposer Date I a member of the Murwillumbah Historical Society Inc. nominate the applicant, who is personally known to me, for membership of the Society. Signature of Seconder Date
APPLICATION FOR MEMBERSHIP (ANNUAL SUBSCRIPTION $15) I (Full name of applicant) of (Full home address) Email address: Telephone/Mobile: hereby apply to become a member of MURWILLUMBAH HISTORICAL SOCIETY INC. In the event of my admission as a member, I agree to be bound by the rules of the Society for the time being in force. My $15 membership fee is attached. Signature of Applicant Date I a member of the Murwillumbah Historical Society Inc. nominate the applicant, who is personally known to me, for membership of the Society. Signature of Proposer Date I a member of the Murwillumbah Historical Society Inc. nominate the applicant, who is personally known to me, for membership of the Society. Signature of Seconder Date
MHS%20Membership%20Application.docx