Membership Form

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Noosa Residents & Ratepayers Association Inc

Membership form

MEMBERSHIP FORM - NOOSA RESIDENTS & RATEPAYERS ASSOCIATION INC

Family Name: …………………………………………………………………………………………………………………

First Name (of Each Adult Member in Family): 1.………………………………………………………………………..

2………………………………………………………………………..

I wish to renew / join the Noosa Residents and Ratepayers Association.

I support the objectives of the Association and agree to be bound by the rules of the Association.

I have enclosed the $10 (single or family) membership fee or via direct debit (see details below).

Signature Member 1: ……………………………………………………………………………………………………….

Signature Member 2: ……………………………………………………………………………………………………….

Postal Address: ……………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………..

E-mail Address: ………………………………………………………………………………………………………………

a) Preferred method of meeting notice and general communication delivery (please circle preference)

a) E-mail (preferred) b) Mail

OPTIONAL SURVEY

Preferred time to attend association meetings (please circle preference)

a) morning b) afternoon c) evening

Preferred Days to attend Association Meetings (please circle preference)

a) Monday b) Tuesday c) Wednesday d) Thursday e) Friday

What issue/s do you think NRRA should focus on in the next year?

…………………………………………………………………………………………………………………………………..

Please print off form and post together with your cheque, or direct debit to:

Noosa Res & Ratepayers Assoc Inc

BSB - 124 001

A/c No. - 10505388

Reference ‘your name’ Subs

and post form to:

Noosa Residents & Ratepayers Association Inc

P.O. Box 94

Noosa Heads

Queensland 4567