NATIONAL
SERVICEMEN'S ASSOCIATION OF AUSTRALIA New South
Wales Branch Inc. MEMBERSHIP
NUMBER:_N___________________ |
NEW
MEMBERSHIP $25.00
|
RENEWAL
FEES EACH YEAR - $20.00
|
PAYMENT: Please pay
your Sub-Branch directly. (Sub Branch
details to be entered in the space below by Sub Branch)
N.S.A.A. NSW State Branch................................................................................................................................
Sub-Branch Stamp.
PO
Box 401
MITTAGONG NSW 2575
·
Former National Servicemen 1951-1959 Navy - Army - Air Force and 1965-1972
Army
·
Former
or Serving Members of the Citizen Military Forces - Army Reserves, RANR or RAAF Reserves
·
Former
or Serving Members of the Australian Regular RAN Army - RAAF
·
Former
Members of the Allied Forces - or any non-service person, interested in the welfare of the
National Servicemens Association
Surname: |
Given Names: |
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Date of Birth: ____ / ____ / ____ |
Email Address: |
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Address: |
PO Box: |
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Suburb/Town: |
Post Code: |
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Home Tel: |
Mobile: |
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Work Tel: |
Fax: |
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Occupation: |
I would
like to be a member of the
________________________________________________________________ NSAA Sub-Branch.
SERVICE
MEMBERS ONLY
Branch of Service
£ Navy
£ Army
£ Air Force |
Service Number: |
Rank: |
Corps/Unit/Squadron: |
Period of Service: _____ / _____ / _____ to _____
/ _____ / _____ |
·
Are
you a member of an RSL Sub-Branch? £ YES £ NO.
·
Do
you require information on RSL membership? £ YES £ NO.
·
Spouse
a member? £ YES £ NO.
·
With
reference to the Privacy Act, do you £ AGREE or £ DISAGREE for your details
being made available to any other organisation?
PLEASE
ALLOW 21 DAYS for the receip of your membership card and lapel badge
Signed: .............................................................................................................
|
Date: ____ / ____ / ____ |
Nominated By: .................................................................................................
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NSAA Membership Number:...................................................... |
PAID TO: STATE
|
MEMBERSHIP
FEES PAID: ____ / ____ / 20____
|
MEMBERSHIP
APPROVED: £ YES
£ NO.
|
DATE
APPROVED: ____ / ____ / 20____
|