MEMBERSHIP APPLICATION / RENEWAL

 
Name (include title)……………………………………………………………...
 
Address……………………………………………………………………….
 
Telephone……………………Email…………………………………….......
 
do hereby apply for membership of the St Ives Progress Association Inc. 
                     In the event of my admission as a member, I agree to be bound by the
Rules of the Association for the time being in force.
 
Signature…………………………………..    Date…………………………..
 
 
Membership Fees per annum
 
Per person ($20.00)                                                $.........................
 
Donations gratefully accepted                                $.........................
                                                                                ______________
 
                Total amount enclosed                            $..........................
 
 
 
Complete the Membership /Renewal Application Form and mail it to:
The Treasurer, SIPA, P.O. Box 938 St Ives, NSW 2075
 together with a cheque payable to St Ives Progress Association Inc.
 
Alternatively, email the completed  Form to:
mail@sipa.org.au and arrange for electronic payment to:
Westpac BSB: 032-188 Account Number 17-1157. 
For reference, it is important that Applicants include their name.

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