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  • GCABA Membership Form

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    Jamie Norriss
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    This document is a membership form for the Gold Coast Aviary Bird Association. It requests information such as the applicant's name, address, phone numbers, email, and the type of membership being applied for or renewed. The form also asks if the applicant has a wildlife license and what species of birds they keep. By signing the form, the applicant agrees to abide by the association's rules.

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    This document is a membership form for the Gold Coast Aviary Bird Association. It requests information such as the applicant's name, address, phone numbers, email, and the type of membership being applied for or renewed. The form also asks if the applicant has a wildlife license and what species of birds they keep. By signing the form, the applicant agrees to abide by the association's rules.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views1 page

    GCABA Membership Form

    Uploaded by

    Jamie Norriss
    This document is a membership form for the Gold Coast Aviary Bird Association. It requests information such as the applicant's name, address, phone numbers, email, and the type of membership being applied for or renewed. The form also asks if the applicant has a wildlife license and what species of birds they keep. By signing the form, the applicant agrees to abide by the association's rules.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    Membership Form

    Application for New Membership: Renewal of Membership:


    (Please tick appropriate Box)

    Full Name: Address:

    . (Please Print) . ..Postcode

    Phone Numbers: ( Fax Number:

    )....(Home and Mobile)

    E-Mail Address: .... Membership Category: FAMILY MEMBERSHIP


    (Please Tick one)

    January to December $25.00 plus joining fee of $5.00 July to December $15.00 plus joining fee of $5.00

    NOTE: All Memberships Due on the 1st of January each year

    I Do /Do Not - hold a license with the Queensland National Parks & Wildlife Service License Number: __________________________(If applicable) Species of Birds Kept (Please Tick one or more) Aust. Parrots Budgerigars Canaries Pheasants Lovebirds Cockatiels Asiatics Doves & Quail Neophemas Finches Exotic Parrots Other

    I undertake to abide by the constitution and other rules of the Association as approved from time to time and certify that the Information provided above is accurate. Date: ___/____/_______ Signature: ______________________________

    Please Print the above form, fill out and send with cheque or money order to The Gold Coast Aviary Bird Assoc. Inc., PO Box 7003, Gold Coast Mail Exchange, Bundall, QLD 4217 For Further Information Contact The Secretary - Sue Brown, 07 - 5522 6666

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