H.M.A.S. MELBOURNE ASSOCIATION
MEMBERSHIP
APPLICATION AND RENEWAL FORM
PLEASE NOTE: NO OTHER FORM OR METHOD OF APPLICATION WILL BE
ACCEPTED BY THE SECRETARY
ASSOCIATION MEMBER NUMBER...............................................(Renewals
only)
TITLE.......................GIVEN NAME..........................................SURNAME....................................
PREFERRED
OR NICKNAME...................................................
ADDRESS:
NO..................STREET................................................................
SUBURB....................................STATE.......................POSTCODE.............................
HOME PHONE.................................MOBILE.......................................................
E-MAIL ADDRESS................................................................
(Important:
Your current preferred e-mail address must be entered in this section)
SERVED IN MELBOURNE:..........................RANK AT END OF SERVICE................................................
(Years only)
NEXT OF KIN DETAILS:
GIVEN NAME..............................SURNAME................................RELATIONSHIP...........................................
(For
Secretary's Use only)
CONTACT
NUMBER..........................................
JOINING FEE: $10.00
ANNUAL SUBSCRIPTION: $10.00
POST TO:
THE SECRETARY, H.M.A.S. MELBOURNE ASSOCIATION
2 BOTTLEBRUSH AVE.
BRADBURY. N.S.W. 2560