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2020 MEMBERSHIP APPLICATION OR RENEWAL AND/OR MAKING A DONATION
Details of the Primary Member and the MacMasters Beach property they are associated with
*
Indicates required field
Renewal or new membership
*
Renewal
New Membership
Salutation
*
Mrs
Mr
Ms
Dr
Name
*
First
Last
Street number and name
*
Other address details if needed
*
Suburb
*
MacMasters Beach
Kincumber
Copacabana
Bensville
Killcare Heights
Killcare
Other - details in box below
Other suburb if not listed above
*
Postcode
*
Email
*
Phone numbers
(Optional but useful if we need to contact you personally and urgently)
Mobile phone
(Only show country code if not Australia)
Landline phone
(Only show country code if not Australia)
Country code
*
Only if NOT Australia
Mobile number
*
Country code
*
Only if NOT Australia
Landline area code
*
Landline number
*
Additional members for this Property
IF YOU NEED MORE SPACE please complete a new form
If you do NOT include email addresses for the additional members, we will contact them by email at the address of the Primary Member above.
Name
*
First
Last
Email
*
Name
*
First
Last
Email
*
Name
*
First
Last
Email
*
Name
*
First
Last
Email
*
Name
*
First
Last
Email
*
Total number of members on this form
Primary Member plus Additionals
Do you want to make a donation to assist us?
Approval to receive emails
Please provide your consent for all members listed on this form to receive emails from the Progress Association, including newsletters. If you don't provide consent, you'll need to visit our website to keep up to date.
No. of Members
*
Donation?
*
Yes - please show amount below
No thanks
Email approval?
*
Yes
No
TOTAL A ($10 each)
Don't show $ sign
Membership fees
*
Don't put $ sign
PLUS
TOTAL B
Don't show $ sign
Donation
*
Don't put $ sign
EQUALS
TOTAL C - total payment
Don't show $ sign
TOTAL PAYMENT
*
Don't put $ sign
YOU HAVE TWO PAYMENT OPTIONS - 1 Direct credit or 2 Cheque
Please select one option to the right, then follow instructions below
Payment option selected
*
1 Direct Credit
2 - Cheque
1 - Payment by Direct Credit
OR
If you're paying by Direct Credit,
submit this form by hitting the Submit Button.
You'll then be taken to the acknowledgment page which sets out details of the Association's bank account to use on your on-line banking page.
2 - Payment by cheque
If you're paying by cheque
BEFORE YOU SUBMIT THIS FORM, PRINT IT OUT FOR ATTACHING TO YOUR CHEQUE
, then submit it. (You cannot return to this form once it's submitted)
Make your cheque for the full amount in
TOTAL C
above, payable to
MacMasters Beach & District Progress Association
then mail it to
MacMasters Beach & District Progress Association
C/o The Secretary
47 MacMaster Pde
MacMasters Beach
NSW 2251
Submit your Application
