
| Home | Contact | Search | Site Index |
ABN 96 098 118 300 - Tax Invoice
ACN 098 118 300
Please print this form, complete the relevant information and mail with payment to:
The Secretary
Rare Breeds Trust of Australia
P.O.Box 159
Abbotsford Vic 3067
1. Details of Applicant
Name of Applicant................................................................................................................................................... of
Address of Applicant................................................................................................................................................
2. Contact Details
Phone No.:............................................... Fax No.:...............................................
Alternate Phone No.:................................ Mobile No.:..........................................
Email:....................................................................................................................
("Applicant) hereby applies to become a member of Rare Breeds of Australia Ltd ("Company")
3. The Applicant
(a) agrees to become a member of the Company;
(b) authorises the directors of the Company to enter the Applicants name on the register of members;
(c) agrees to be bound by the Constitution of the Company; and
(d) agrees to pay such fees as are authorised by the board from time to time.
4. Category of Membership
The Applicant must tick one of the following categories of membership. This is an indication of preference only, and this nomination is not binding on the board.
| Tick | Category | Membership Fee (A$) | Votes | Additional Information required by the Company |
| Individual | 35.00 | 1 Vote, 1 Newsletter | Nil | |
| Associate | 20.00 | 1 Newsletter | Nil | |
| Pensioner | 20.00 | 1 Vote, 1 Newsletter |
Pension Number................................ | |
| Family | 55.00 | 2 Votes, 1 Newsltter |
There are [ ] member on this application | |
| Pensioner Family | 30.00 | 2 Votes, 1 Newsleter |
Pension Number................................ Name of Member | |
| Junior | 15.00 | 1 Newsletter |
The Applicants date of births is: ..../..../.... | |
| Association | 35.00 | 1 Newsletter |
The Applicants ACN or ABN or Inc. Registration Numbers is: | |
| Donation |
Please find enclosed my donation to support the work of the Trust (or see donations page) | |||
5. All Applicants for Junior membership must include the signature of their parent or guardian, consenting to this Application
6. Membership Fee
Attached to this Application is a cheque for the amount of [................] made payable to the Company in payment of the Membership Fee for the applicable category of membership.
SIGNATURE/S OR SEAL........................................................................ DATE....................................
A receipt will only be issued if requested and a stamped self addressed envelope enclosed.
Do you have any skills, which you would be prepared to make available to the Company. Eg., Accounting, Legal, Veterinary to name a few.
If so would you please state them:..............................................................................
|Copyright - Rare Breeds Trust of Australia ACN 098 118 300 | Disclaimer | Feedback |