Membership Application Form

AUSTRALIAN TRANSPORT MUSEUM LIMITED

P.O.Box 1626 ARMIDALE 2350

ABN 31 129 731 951



SURNAME: Mr / Mrs /Ms / Dr / .... /……………………………………………………..

FIRST NAME / INITIALS……………………………………………………………………..

STREET- ADDRESS ................ ……………………………………………………………….

TOWN /POSTCODE ...... ……………………………………………………………………

POSTAL ADDRESS…………………………………………………………………………….

CONTACT DETAILS:

PHONE-HOME:………………………………..WORK…………………………………………

MOBILE:………………………………………...FAX……………………………………………

EMAIL……………………………………………………………………………………………….

I agree to be bound by the constitution of the company, which is limited by guaran-tee and to which I will be a shareholder, while financial.

I apply for Membership of the Australian Transport Museum .

Mem.No

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

(Signed) (Date)

Membership joining fee is currently $50 and the annual membership fee is $40 (Both are subject to change by resolution of the members, in accordance with the constitution.)

Please download this form and post it to P.O.Box 1626 Armidale 2350

or email to e.d.north@outlook.com

Bank details are Regional Australia Bank Armidale

Australian Transport Museum BSB 932 000 A/c No 100213367 Please include your name.