Membership

Interested in membership or want to assist in activities

Please contact us:

Expressions of Interest or Assistance with Huts Activities

Application for Membership

** For those joining from January 2008, membership will be extended for 18 months to June 2009 without additional charge.

Download this membership form as a pdf for printing

APPLICATION FOR MEMBERSHIP OF
The Victorian High Country Huts Association Incorporated
Registered Number A0043804Y

(a) Ordinary Membership $30.00 1 Jan 2008 to 30 June 2009**

I, .............................................................................. (name),

of............................................................................................................

................................................................................................................(address)

Post code...............................

Phone: ........................................... Fax: ................................ Email: ...................................

desire to become an ordinary member of The Victorian High Country Huts Association Incorporated
I wish to receive notices, communications etc by post/facsimile/email (delete as appropriate)

(Optional) I wish to include my spouse .............................................................(name)

and dependent children under the age of 18 years .............................................................

..........................................................................................................(names)

in my membership. I understand that this membership entitles me to one vote at general meetings of the Association.

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 of Applicant

..............................................Date

(b) Corporate Membership (Club, Society, Business etc) $50.00 1 Jan 2008 to 30 June 2009**

I, ................................................................................. (name),

being the ......................................................... (official position) of

.......................................................................... (name of organisation)

with contact address of ............................................................................................................

................................................................................................................... (address)

Post code.........................

Phone: ..................................... Fax: ................................. Email: ........................................

wish to apply for Corporate membership of the Victorian High Country Huts Association Incorporated.
We wish to receive notices, communications etc by post/facsimile/email (delete as appropriate).

I wish to nominate the following person to vote on behalf of our organisation at future general meetings:

.................................................................... (name).

We understand that we may appoint a proxy for all meetings in the usual way.
In the event of our admission as a member, we agree to be bound by the rules of the Association for the time being in force.

...................................................................................Signature of Applicant

................................................. Date

Please print out, fill in and return WHOLE FORM to:

VHCHA Membership Subscriptions, PO Box 216, Blackburn, Vic 3130

Ordinary Membership fee, 1 Jan 2008 to 30 June 2009** ....... $30.00........................$

Corporate Membership fee, 1 Jan 2008 to 30 June 2009** .... $50.00........................$

Donation to VHCHA ...............................>>...............................................................$

TOTAL $................

Payment Details: Cheque / Money Order Payable to Victorian High Country Huts Association Inc
or Credit Card: Visa / MasterCard

Name on Card: ................................................................................

Card Number: ........................................ Expiry Date: ........................................

Signature of Cardholder: ................................................................................