MEMBERSHIP FORM

Please feel free to print this page and send to us.

 

RATEPAYERS ACTION GROUP.

MORETON BAY ASSOCIATION INC.IA37761

 

NAME:                  __________________________________________________________________________

ADDRESS:            __________________________________________________________________________

HOME PHONE:  _____________________  BUSINESS PHONE:  ____________________________________

MOBILE PHONE:      __________________________EMAIL:________________________________________

I pay rates to Moreton Bay Regional Council for (Circle all types of property that apply to you):

                                                       Residential    /   Commercial   /   Industrial   /    Rural                    

              I hereby agree to abide by the objectives, rules & bylaws of the Ratepayers Action Group

              Moreton Bay Association Inc.

              Memberships(which apply per household): _________ ordinary @ $5 per annum          

                                    

Applicants Signature _________________________         Date ____/____/____

 

Proposer's Name: ______________________   Seconder's Name  _______________________ 

 

Proposer's Signature ____________________     Seconder's Signature .______________________ 

 

Date ____/____/____                                                              Date ____/____/____

      Contact Us: ______________________________________________________________________________________________