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To become a member please complete and print this form and send it to:
     PO Box 2017, Sunnybank Hills, QLD, 4109,
together with a cheque or money order for your membership dues.


MEMBERSHIP  APPLICATION  FORM

KARAWATHA  FOREST  PROTECTION  SOCIETY  INC.

PO Box 2017, Sunnybank Hills, QLD, 4109

I would like to become a member/renew my membership of the society
for 2015/16
I agree to support the society in accordance with its constitution.

Single    $10                     Family    $15                     Pensioner    $5



Name:_________________________________________________________

Addr:_________________________________________________________

______________________________________________________________

Phone number:__________________ Email:______________________________

Occupation(optional):___________________________________________

Signature:___________________________

Date:___________________

I have skills to help with:












 



INSURANCE HELD BY AON: Association Liability Insurance $5,000,000 any one claim, $10,000,000 in the aggregate any one year, Public & Products Liability Insurance $20,000,000 any one occurrence or in respect of Products and Pollution, in the aggregate. Personal Accident Insurance Various benefits as defined by the policy.