| Membership Applications |
|
If you wish to become a member of the Australian South Sea Islanders Association Incorporated please print out the following Membership Application form and send is as an email to: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Descendants of South Sea Islanders Association
I ________________________________________________________________________________ Hereby apply
Address: ___________________________________________________________________________________
Suburb:____________________________________________________State:___________Postcode:__________
Date of Birth: ____ / ____ / ________ Phone Number:________________________Mobile:___________________
E Mail: ______________________________________________________________________________________
Signature of Applicant: _____________________________________ ( ) Ordinary Member ( ) Associate Member
Date: ____/___/______ Seconder Name: Proposers Name: ______________________________Signature: ________________________ Date: ____/___/______ Amount Enclosed: $____________________________Receipt Number: _______________________ |