MONTMORENCY BOWLING CLUB INC.
Mountain View Road Montmorency Ph 9435 5811
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Our Major
Ray White |
MONTMORENCY BOWLING CLUB INC
Mountain View Road Montmorency Ph 9435 5811
APPLICATION FORM
The Hon. Secretary Montmorency Bowling Club Inc. Alec Treacher 2/53 Looker Road Montmorency Vic 3094
I desire to become a member of the Montmorency Bowling Club Inc. and enclose my Nomination Fee. If accepted, I agree to be bound by the Rules and Regulations of the Club.
The following particulars are correct and submitted in support of my nomination.
Full Name of Candidate .
Private Address ..
Telephone (Home) (Business)
Profession or Occupation ..
Year of Birth (all applicants) . Date of Birth (If under 35)
Membership of other Clubs
Details of persons to be contacted in emergency;
Person 1 Name ... .. Tel No .
Person 2 Name ... Tel No .
SIGNATURE OF CANDIDATE ..
The above candidate is known to us Members of Montmorency Bowling Club Inc. a suitable person to be elected a Member of the Montmorency Bowling Club Inc.
Proposer .. Date .
Seconder . Date .
Provided that the Board shall not be bound to accept the Applications for Membership of any Candidates. Provided also that any inaccuracy or misrepresentation in the particulars or description relating to Applicants shall render their election voidable at any time at the discretion of the Board.
Tick one selection or, if relevant, both selections
(affiliation with the VLBA required)
(affiliation with the RVBA required)
FEES Nomination Fee $............... Annual Subscription $ .
VLBA Affiliation Fee $........... RVBA Affiliation Fee $................. TOTAL OF FEES $...................
Name for Name Badge: ... Coach ...... Buddy .... |
| Last modified: 30/01/12 |