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Membership Application Form

(* indicates required to be filled in)
Name* (English)
(Chinese)
Occupation
Contact phone no.*
Address*
Postcode*

 

Declaration:
a) I apply for the membership of Elderly Australian Chinese Homes
   and pay the membership fee of $11 (GST incl.) according to
   the Rules of the organisation.

b) If my application is approved, I agree to accept the Rules of
   the organisation registered under the Co-operatives Act.

c) I am over 18 years of age.
My birthday is (optional)

d) Date          

 

EACH Privacy Policy:
Personal information of EACH members is protected and kept confidential according to the relevant privacy legislation in Australia.