Putt putt fun Patonga backyard Port Macquarie crash out Good times
 
 
 

New Member Form

NEW MEMBER APPLICATION FORM

Post to: SINGLE PARENT FAMILY ASSOC. INC., P.O. Box 906, Baulkham Hills, NSW, 1755

 

MEMBERSHIP FEE IS $40 PER ANNUM PLUS $5 JOINING OR RE-JOINING FEE

Your payment options are:
i) Cash to a Committee Member
ii) Cheque. Make payable to "Single Parent Family Association Inc."
iii) 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 them of your payment
 
YOUR NAME
Title:    First Names:  Surname: 
 
YOUR ADDRESS
Home:
Street: 
Suburb: 
Postcode:   
   
   
 
 
NEWSLETTERS
Select preferred method to receive our bi-monthly newsletter :

 
OTHER DETAILS
Phone:
Home:  Mobile:  Work: 
Email:  Birthdate:  Occupation: 
 
YOUR CHILDREN
Child Surname First name Sex Birthdate
1
2
3
4
5

HOW DID YOU HEAR ABOUT US?:
How did you hear of us (select the leading one): 
Any more detail?:  Referring Member no: 

(EX)SPOUSE DETAILS
Name:  Membership no. (if known): 

(EX)SPOUSE'S SIGNATURE ............................................................................................
 
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
 
By signing this form you agree to obey the rules & regulations of the group.
APPLICANT'S SIGNATURE   DATE              /        /
Please allow 4-6 weeks for processing. You can attend functions immediately.
 
 

OFFICE USE

DATE PROCESSED        /        / PAYMENT DETAILS   MEMBERSHIP NUMBER