MEMBERSHIP APPLICATION OR RENEWAL Application type * New membership Renew membership Category of Membership * Household membership is for two individuals who substantially reside together. Junior members may only be attached to a Household membership. Student membership is available to students over 16 with a current Student ID Card. Corporate membership entitles corporate members to one vote and one enrolment at annual Training Weekend without fee. Individual Household Student Corporate Name of first member * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Best Contact Number Email * Name of second member First Name Last Name Address (if different to first member) Address 1 Address 2 City State/Province Zip/Postal Code Country Best Contact Number Email Name of junior member #1 First Name Last Name Name of junior member #2 First Name Last Name Name of junior member #3 First Name Last Name Corporate category Name of Organisation First Name Last Name Address of organisation Address 1 Address 2 City State/Province Zip/Postal Code Country Website http:// Name of key contact First Name Last Name Position held Best Contact Number Email Declaration * As (a) member / s of the VMRG, I / we agree to be bound by the rules of the Association. Upon receipt of the applicable fee, I / we understand I / we become / continue to be (a) member / s of the VMRG. Agreed, First member Agreed, Second member Date MM DD YYYY Fees payable - Membership fees include GST. Membership payment is for the year November 1st to October 31st * Payment is preferred by EFT Bank: Bank Australia - Account Name: VMRG - BSB: 313-140 - Acct No: 1216 3509. Please reference with the first member's family name or Organisation name. Individual $35 Household $50 Student $20 Corporate $80 Thank you for submitting your membership form.
