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 280Name: Castlemaine Society Incorporated CASSOC Membership Form Name(Required) TitleMs.Mr.MissMrs.Dr.Prof.Rev. Title First Name Surname Phone Number Email 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 yearMembership 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 registerPlease 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!