APPLICATION:

 

 

TO THE SECRETARY                                                         (forward to 67 Brisbane Street  Annerley  QLD  4103)

 

Herewith my/our application for membership to Citizens Against Road Slaughter Ltd

 

MY/OUR PERSONAL PARTICULARS ARE:   (for company records only)

 

NAME

..........................................................................

OCCUPATION/

GROUP STATUS

 

..............................................

ADDRESS

..........................................................................

 

PHONE No

 

(A/H)....................................

 

..........................................................................

 

 

(W)........................................

 

POSTCODE

.....................

 

 

 

I would be pleased to contribute to the company's aims in the following way/s:

 

OFFICE DUTIES (voluntary))

 

 

                FAMILY SUPPORT GROUP

 

 

RESEARCH WORK

 

 

                COURT SUPPORT

 

 

APPEALS COMMITTEE (fund raising)

 

 

                COURT WATCH (all courts)

 

 

GUEST SPEAK (community groups etc)

 

 

                LIAISE with LOCAL POLITICIANS

 

__________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please indicate if you have been employed, or have taken an active part in any of the following business ventures, professions or voluntary work:

 

BUSINESS MANAGEMENT

 

                INSURANCE

 

                SOCIAL WORK

 

 

 

 

 

 

 

MARKETING

 

 

PUBLIC SPEAKING

 

                GRAPHIC ART

 

 

 

 

 

 

 

BANKING

 

 

                FUND RAISING

 

CREATIVE WRITING

 

_______________________________________________________________________________________________________________________________________________________________________________________________________________________

None of the above talents or expertise are obligatory and would not preclude you from becoming an active and valued member of CARS.  Every member has an individual contribution to make to CARS' objects.

 

Companies, unions, sporting bodies and organisations sometimes choose to become group members as their way of making an annual donation of $61 or a one-off donation for Life Group Membership‑ $220.  Any person belonging to a group may seek Single Membership and nominate for certain positions on the Management Committee.

________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

I ENCLOSE CHEQUE/MONEY ORDER FOR:

 

SINGLE MEMBERSHIP

$

22

                annual subscription

 

SINGLE LIFE MEMBERSHIP

$

110

                paid once only

 

GROUP MEMBERSHIP

$

61

                annual subscription

 

LIFE GROUP MEMBERSHIP

$

220

                paid once only

DATE      /      /20___                                                                                                                                             (all include GST)

 

                                                                                ________________________________________                               

                                                                                Signature                                                                                               

 

 

 

 


 

 

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