Membership Application
Monash Ratepayers Association Inc. A00270067M
Membership open to Ratepayers of the City of Monash
| Please print: | ||
| Name: | ........................................................................................................................................... | |
| Address: | ........................................................................................................ | |
| Suburb: | ........................................................................................................ | |
| Post Code: | ................ | |
| Ph: | ........................... | |
| Mobile | ........................... | |
| Fax | ........................... | |
| ..................................................................... | ||
|
City of Monash
Rateable Property (If not as above) |
Address:............................................................................................................................... | |
| Suburb:...................................................................................................... | ||
| Post Code:........................ | ||
| Nominated by: | ................................................................................. | (MRA Committee Member) |
| Seconded by: | ................................................................................. | (MRA Committee Member) |
Fee of $7.00 per annum. Discounted to $20 for 3 year period.
Receipts will be issued via e-mail or, if preferred, please include a stamped self addressed envelope
| SIGNED BY: | ................................................ | DATE: | ......../......../200.... |
|
Please print off and forward the completed form
together with your payment to:
|
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| Monash Ratepayers Association, | |||
| P.O. Box 1057, Huntingdale. 3166. | |||
……………………………………………………………………………………………………………
Office use only:
| Date received: | ....../....../200 | |
| Date Approved by Committee of Association: | ....../....../200 | |