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Membership Application |
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Membership is open to businesses, organisations and individuals at $20 p.a.
 Application for MembershipCROWS NEST & DISTRICT TOURIST & PROGRESS ASSOCIATION INC
PO Box 72, CROWS NEST, QLD 4355
ABN 82 595 017 203
Print this form, complete, and post to the address above.
Information for Membership List: Name: __________________________________________________(Name of business for business membership; name of person for personal membership) Phone: ______________________ Email Address: ___________________________________________ Website Address: _________________________________________ |
Personal details: Contact Person: __________________________________________ Mailing Address: __________________________________________ ______________________________________________ P/C: _____ Phone: ___________ Mobile: ______________ Fax: _____________ Email: __________________________________________________Notices of meeting are sent by email wherever possible | I enclose $20 Annual Fee for: New Membership ___ Renewal ___ Signed: ________________________________________ Date: __________________ |
Your application for membership was approved at the meeting of CNDTPA on __________________ ____________________________________ Secretary |
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