MEMBERSHIP APPLICATION FORM

 

MEMBERSHIP APPLICATION FORM
Postal Address: 39 Main Arm Road,

Mullumbimby, NSW, 2482,

Phone: 02 6684 3704

To Join Byron Mullum Tweed Lets or To Renew Your Membership
please fill out the below form and press send when complete.
(Please ensure that you have included bank transfer details of payment of Fees)
* Required Fields   

* First Name:

* Last Name:

Preferred Spiritual Name:

Gender:
M F
Business/Organisation Name:
Postal Address:
 
Suburb/Town

Postcode:
State

Country:
Residential Area:

Phone Numbers (Please tick which number to be included in Directory)

* Phone

Mobile/Cell:

Fax:

* Email Address:

Previously member of another LETSystem: Yes No  
If yes which LETSystem?
       
* Goods/Services/Skills

 Recognised Qualification

* Category (One per Skill)
1. Yes No
2. Yes No
3. Yes No
4. Yes No
5. Yes No
       
AGREEMENT: I wish to join or renew membership Byron Mullum Tweed LETS:
$25  (dollars) ? New Membership Fee has been transferred (See below for details)
$15  (dollars) ? Rejoining Membership Fee has been transferred (See below for details)
  NB.  I understand this amount is not refundable.
* I have read and will abide by the Byron Mullum Tweed LETS Membership Agreement.
(see Membership Agreement click here)
Fullname Date
   
* Please Paste Bank Funds Transfer Receipt Information Here:
Bank Account Details for Online Direct Funds Transfer of Fees (Internet Banking):
(Please use your name as the reference)
Bank:  Westpac Bank of Australia
BSB Number:  032573
Account Number:  185627
Account Name:  Byron Mullum Tweed Lets 1
 

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This page developed by Astoria Robinson.
It is updated and maintained by Visionary Journeys for Byron/Mullum/Tweed LETS
Acknowledgement to Jenny Robinson for her LETS summaries.
Last updated on 1/11/2008
For feedback on this site or additional links please email the webmaster Jay
Email LETS office