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, PO Box 153, HINDMARSH, SA 5007.  *Concession is granted to pensioners (concession card holders), country members living over 80 km from Adelaide, full time tertiary and secondary students, exchange students from overseas and newly arrived immigrants.

ALL MEMBERSHIPS INCLUDE ANNUAL SUBSCRIPTION (10 ISSUES)

TO THE NEWS MAGAZINE VIKINGEN.

Applicant

 

 

Surname

 

First Name

Birthday (optional)

Nationality and/or connection with Scandinavia

 

 

Tel. home:

E-mail address

 

 

Tel work:

Address

 

 

 

Suburb/Town

 

 

Postcode

Co-Applicant/Partner

 

 

Surname

 

First Name

Birthday (optional)

Nationality and/or connection with Scandinavia

 

 

Tel. home:

E-mail address

 

 

Tel work:

Children

 

 

Surname

First Name

Birthday (optional)

 

 

 

 

 

 

 

 

Applicant’s signatures

 

 

 

 

1) Family Membership $32

 

 

2) Single Membership $22

 

 

3) Family Concession * Membership $22

 

 

4) Single Concession * Membership $17

 

 

 

Total Payment enclosed