Application to Join
The Avicultural Society of
Tasmania Inc.
(Please Print) First Name.......................................................... Surname............................................................. Address............................................................. .................................................................... State.............................................Postcode ......... Phone .......... .................................. If this is a family Membership state given names below. ......................./......................../...................... ......................./......................../...................... Please list Birds that you are interested in .................................................................... .................................................................... Signature......................................Date...../..../......... Subscription Rates, Single/Family......$30.00 Pensioner/Family...$25.00 Pension No. .......................... Junior under 14yrs)$12.00 Please fill in this application and send it WITH PAYMENT to, The Membership Officer Avicultural Society of Tasmania inc. PO.Box 714 Moonah TAS 7009 ----------------------------------------------------------------------- Proposed By..................................................... Presented to Committee meeting....../....../.......... Signed by............................................President |