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New Member Form
NEW MEMBER APPLICATION FORM
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Post to: SINGLE PARENT FAMILY ASSOC. INC., P.O. Box 906, Baulkham Hills, NSW, 1755
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MEMBERSHIP FEE IS $40 PER ANNUM PLUS $5 JOINING OR RE-JOINING FEE
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Your payment options are:
i) Cheque. Make payable to "Single Parent Family Association Inc."
ii) Direct deposit to: BSB no. 062 320 and account no. 1002 6602 (Commonwealth Bank).
Include your name in the details and email treasurer@singlewithchildren.com.au to notify us of your payment
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MEMBERSHIP FEE IS $40 PER ANNUM PLUS $5 JOINING OR RE-JOINING FEE
Your payment options are:
i) Cheque or money order. Make payable to "Single Parent Family Association Inc.", print this form and mail to us (our address is on the form).
ii) Direct deposit to: BSB no. 062 320 and account no. 1002 6602 (Commonwealth Bank).
On-line applications can be made when paying by direct deposit, just complete the payment details in the field provided.
If your ex-spouse is a member then you must post this form to us so we can verify their signature.
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| HOW DID YOU HEAR ABOUT US?: |
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| (EX)SPOUSE DETAILS |
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(EX)SPOUSE'S SIGNATURE ............................................................................................ |
| PAYMENT (DEPOSIT) DETAILS
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Privacy
The Single Parent Family Association understands and respects your privacy. Personal information provided by you will be used for administrative purposes only. For a full explanation of our Privacy Policy, please refer to the website: http://www.singlewithchildren.com.au/SPFA-Privacy.shtml |
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| By signing this form you agree to obey the rules & regulations of the group. |
| APPLICANT'S SIGNATURE |
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DATE |
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| If mailing in please allow 4-6 weeks for processing. You can attend functions immediately. |
OFFICE USE
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| DATE PROCESSED |
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PAYMENT DETAILS |
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MEMBERSHIP NUMBER |
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