Brisbane Orchid Society


MEMBERSHIP APPLICATION FORM
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TO: HON. SECRETARY
BRISBANE ORCHID SOCIETY INC.
PO Box 2078
Runcorn 4113

I wish to become a member of The Brisbane Orchid Society and, if elected, agree to abide by the Rules and By-Laws of the Society.  I understand that the subscription per calendar year is as listed below and that such subscription becomes due on 1st January each year and is payable before 1st February for that year.

SUBSCRIPTION: Single and Family Membership both $25.00.
Junior Membership $10.00 (under 16 years of age)
NOTE: The applicable subscription fee must accompany this application.
Membership fees above are for Australian residents only.  All others should request the current applicable subscriptions rates from the secretary.
Yours faithfully,
(Signature)

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NAME(S) ________________________________________________
ADDRESS ________________________________________________

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POSTAL ADDRESS IF DIFFERENT ________________________________________________

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EMAIL ADDRESS ________________________________________________
DAYTIME PHONE _________________ MOBILE  _____________________
Please tick Membership type Single o / Family o / Junior o
Number of years growing orchids ___
How did you hear of us? (Please circle)  Show      Website      Word of mouth     Display Other_________________

Brisbane Orchid Society use only

Proposed by: ________________________________________________
Seconded by: ________________________________________________
Admitted to the Society on __/__ /____ Sec. Init._____ Member No. issued_____V. 2013