Membership Renewal Form 2017 – 2018

OTU ASSOCIATION   2017/18  MEMBERSHIP RENEWAL

Websit1965 100f Badge OTU Scheyville Sonnevelde: www.otu.asn.au

The preferred method of payment is via our secure PayPal gateway

(you do not need to have a PayPal account to use this service).

INVOICE     ABN 26 390 124 006 Please return by 31 July 2017                                                              Cheques payable to :                                      OTU Association

MAIL TO:

Treasurer

OTU Association

PO Box 540

BLACK ROCK

VIC       3193

 

CONTACT: (03) 9533 1810

rayelder45@gmail.com

Annual Subscription  July 2017 to June 2018

Donation to Youth Leadership Development

Total Cheque/Cash Enclosed

(For Direct Debit payment see below and please remember to update our database or return this form so that your contact details can be confirmed)

 

 

$50.00

$………..

$………..

 

 

 

 

 

MEMBERSHIP DETAILS UPDATE
Personal Details: I Have Retired   Yes / No
Title/Rank: Work Details (If Applicable):
First Names: Position:
Last Name: Organisation:
Wife/Partner: Industry:
Address: Address:
Town/Suburb: Town/Suburb: Postcode:
State: Postcode: Work Phone:
Home Phone: Work Fax:
Personal Mobile: Work Mobile:
Personal Email: Work Email:
Personal Web Address: Work Website:
Class: Any Comments:
Corps:
Regimental No:
Awards:
I am a new member:I am a continuing member: I am no longer interested.Please delete me from the database: (Please Indicate)
For Office Use: You will need to know the following information to pay your Membership using Direct Debit: Bank – National, BSB – 083 298,  Account No. 56-687-0611, Reference – Surname and/or Regt No.

 

Membership Drive

Please list details below of those who shared the Scheyville experience who you think may not be current financial members of the OTU Association.  We will check against current membership lists and follow up non-members.

 

NAME CLASS ADDRESS EMAIL PHONE NO
1
2
3

 

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