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MEMBERSHIP
APPLICATION 2008 You are invited to apply for
membership of the Scandinavian Association of South Australia for the year to
December 2006. Please fill out the details and mail this form with your
cheque or money order, crossed ‘NOT NEGOTIABLE’ and made payable to “Scandinavian
Association of SA Inc.” to The
Secretary, SASA, ALL MEMBERSHIPS INCLUDE ANNUAL
SUBSCRIPTION (10 ISSUES) TO THE NEWS MAGAZINE VIKINGEN. |
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Applicant |
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Surname
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First Name |
Birthday (optional) |
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Nationality and/or connection with
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Tel. home: |
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E-mail address
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Tel work: |
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Address
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Suburb/Town
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Postcode |
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Co-Applicant/Partner |
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Surname
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First Name |
Birthday (optional) |
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Nationality and/or connection with
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Tel. home: |
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E-mail address
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Tel work: |
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Children |
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Surname |
First Name |
Birthday (optional) |
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Applicant’s signatures
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1) Family Membership $32 |
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2) Single Membership $22 |
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3) Family Concession * Membership $22 |
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4) Single Concession * Membership $17 |
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Total Payment enclosed |
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