Membership – Castlemaine Society

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Home
About
Campaigns
Become a Member
News
Bulletins
Contact

Become A Member

To become a CASSOC member please complete the form below.

The form has an option to make an additional donation. Alternatively donations (either identified by your name or anonymous) can be made directly to the CASSOC bank account:

BSB: 633-000 (Bendigo Bank)
Account: 207 204 280
Name: Castlemaine Society Incorporated

CASSOC Membership Form

Name(Required)

Title First Name Surname

Phone Number

Address

Street Address Address Line 2 Town/City State Post Code

Postal Address

different from street address

Postal Address details

Street Address/POBox Address Line 2 Town/City State Post Code

Membership Options
The full fees, below, are tiered as follows for applications made over the membership year:
> May to December - full fee
> January to March - half fee
> April to May - full fee but valid until the following year

Membership Options(Required)

Primary resident membership ($20)

Additional household member ($10)

Associate membership - Under 15yrs of age ($10)

A separate form is required per member. The membership year is from 1 May to 30 April (or until AGM).

Donation

Donations are helpful with running costs, special campaigns and activities.

Total

Do you have any skills you would like to share with us? Please indicate below.

Website

Events

Legal

Planning

Council/Government Liaison

Newsletter

Social media

Other

List other skills

I/We wish to become a member/s of the Society.(Required)

I/we support the Society’s Purposes, and agree to comply with the rules of the Society.

Do not disclose register

Please note, in accordance with our Rules, we are required to maintain a register of members. The application form reflects the information we are required to keep. The Rules also provide that any member is entitled to inspect the register. If there is personal information you DO NOT wish to be made available for inspection, please place a tick/check in the box below for the information you DO NOT wish to be disclosed.

Address

Phone Number

Email address

Signature(Required)

Click the circular icon above if you need to wipe your signature and try again!

Castlemaine Society Incorporated is situated on the traditional lands of the Dja Dja Wurrung and pays respect to Elders past, present and emerging.

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