ORA Membership Application

ORA Membership Application

One Form for each Member Joining
Your Name:*

First NameLast Name
Partners Name:
If Applicable
Home Address:*

Street Address

Street Address Line 2

CityState

Postcode
Telephone Preference:*
Home or Mobile
email Preference:*
example@example.com.au
ORA Badge Name:*
Name you want on your Ops Room Badge eg Spike Jones
Service Number:*
Ex R111111 or PM Key No
Rank:*
Rank On leaving the Military
Still Serving:
Select only if you are still serving in the military
Date of Birth:*

DayMonthYear
Date
Date Joined:*

DayMonthYear
Date
Date Discharged:*

DayMonthYear
Date
Years of Service:*
eg 20
Membership Fees: Joining Fee $35.00AUD Yearly Subscription $10.00AUD per year.

Please note maximum number of years you may pay in advance is five years.

If purchasing 5 year plan will cost $45.00AUD, a saving of $5.00AUD
Payable Direct Deposit to WESTPAC - Ops Room Association Inc.

WESTPAC BANK - BSB: 037-604. ACCOUNT NO: 334430.

Please put your Surname and Initials in the comments line on your Direct Deposit.

Once monies have been received by the Association, a receipt number will be sent to you by email, with our Constitution and Bylaws.

If at any time...your details change, please advise our Secretary immediately by email, this helps us keep you informed of Association matters.

Thank You!
Subscriptions:*

1 Year Membership Plan - $10.00AUD2 Year Membership Plan - $20.00AUD3 Year Membership Plan - $30.00AUD4 Year Membership Plan - $40.00AUD5 Year Membership Plan - $45.00AUD
Joining Fee:*

Initial Joining Fee - $35.00AUD
Amount Deposited:*
Total amount deposited into the Ops Room Association Bank Account. eg $35.00AUD Joining Fee plus your requested yearly plan. Please don't forget to put your Surname and Initials in the comments line on your Direct Deposit....Thank you
Comments:
Please place any additional comments you want us to know here
Office Use:
Date Deposit received:
Date of Membership received in our Bank account
Receipt Number issued:
Secretary to put ops room association receipt number here
Membership No issued:
Secretary to put Membership number here
Date Emailed Member:
Date emailed Member
Should be Empty:

ORA Membership Application

Membership Fees: Joining Fee $35.00AUD Yearly Subscription $10.00AUD per year.

Please note maximum number of years you may pay in advance is five years.

If purchasing 5 year plan will cost $45.00AUD, a saving of $5.00AUD

Payable Direct Deposit to WESTPAC - Ops Room Association Inc.

WESTPAC BANK - BSB: 037-604. ACCOUNT NO: 334430.

Please put your Surname and Initials in the comments line on your Direct Deposit.

Once monies have been received by the Association, a receipt number will be sent to you by email, with our Constitution and Bylaws.