Sussex Inlet P.C. Users Group Inc.
Application for Membership
Mr / Mrs / Ms .........First Name......................................................... Surname............................................................
Address
Street............................................................... Town................. .............................................. Postcode ...................... Phone............................
Email address......................................................
I/We wish to apply for membership of the Sussex Inlet P. C. Users Group Inc. in the Following Category;- Ordinary Member - Family Member (Circle as appropriate) As a member of Sussex P. C. Users Group Inc. I/We agree to abide by the Constitution and By-laws of the group and to pay the prescribed fees as required.
Signature ...............................................
Date .............................20.........
Please print this page, complete the details with a pen and mail with your payment to:-
Sussex Inlet P. C. Users Group Inc.
C/o 42 Berrara Rd, Berrara NSW 2540
