Uniden ULP1000 Instrukcja Użytkownika Pobierz pdf (Strona 16)

Bits'N'Bytes April 2011

SCCC Membership Application/Renewal Form

Applications can be posted to SCCC Inc., P O Box 384, Caloundra, 4551

or presented at a meeting

I wish to apply for membership

I wish to renew my membership

Name(s):

Address:

City: Postcode:

Phone:

Email:

I will collect my membership card from Caloundra Buderim Yandina

Membership fees include the electronic version of the club

magazine. Amount $

Individual $35

Family $45

Corporate (Includes a monthly advertisement in the club magazine) $60

Junior (Under 18 Years of Age) $20

For the additional cost of $12 you may subscribe to a printed and posted

paper 853 version of the club magazine.

Magazine subscription $12

Total Enclosed $

Signature:

If after joining you don't receive your magazine within one month,

please contact the Club.

SCCC Office Use

Date Paid: Amount: $

Receipt Number: Membership Number:

Signed: Nominated:

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