Membership Form – The Echuca Club

The Echuca Club Inc. - MEMBERSHIP

Applicant needs to be proposed & seconded by two current members and pay a joining fee of $25.00 plus a membership fee, currently $125.00, paid pro-rata if during the year. The application then goes to the Committee for acceptance and then posted on the Notice Board for approval.

Clubs Phone: 03 5482 1003
manager@echucaclub.org.au
Address: The Echuca Club, 19 Murray Esplanade. Echuca. 3564 Victoria

Membership Form

APPLICATION FOR MEMBERSHIP

Proposed Member Given Name/s

Proposed Member Surname

Date of Birth

Occupation

Private Address

Business Address

Phone/Mobile

Has the Applicant formerly been a member of any other clubs

Has Applicant ever been refused Membership of any other Club/s

Yes

How Long has 'The Proposer' personally known the Proposed Member

How Long has 'The Seconder' personally known the Proposed Member

Name of Proposer

Proposer confirmation Signature

Sign Here

Name of Seconder

Seconder confirmation Signature

Sign Here

We HEREBY declare to the best of our knowledge that the answers given by us to the foregoing questions are true and correct in every particular and that we have not withheld any information within our knowledge likely to effect the decision of the Committee of the Club as to the eligibility for Membership of the above named Proposed Member and further we believe the Applicant, in all respects a suitable person to admit to Membership of THE ECHUCA CLUB Inc

Name of Applicant

Sign Here

Date

I HEREBY APPLY to be accepted as a member of THE ECHUCA CLUB Inc., I am over the age of 18 years, I agree, if elected, to abide by the Club rules and regulations.

Please submit this form and we will contact you upon your acceptance when you will be able to make payment of your joining fee of $25.00 plus a membership fee of $125.00 per year. Rejoining Members will not pay a joining fee.