Agriculture Western Australia Ex-employees Association

Agriculture Western Australia Ex-employees Association

Application form
The purpose of the Association is to provide opportunities for social interaction amongst its members by:
1. Fostering a spirit of camaraderie and goodwill
2. Organising social activities.
All for a once-only membership fee of $25.
Your details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postcode
Email*
example@example.com
Phone Number*

Area CodePhone Number
Payment
Please deposit $25 into the Association bank account mentioning your name in the reference section.

Agriculture Western Australia Ex-employees Association
BSB: 126-577
Account: 1040761

Alternative payment arrangements can be made by contacting the Secretary via ex.ag.assoc@gmail.com

Members will be invited to functions and receive notices via email. Only paid-up members may vote at the AGM or extraordinary meetings.
Your brief bio (for example, your role, working group, year started and when retired or resigned):*
Should be Empty:

Your details