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
E-mail 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 & Rate:
Last Rank & Rate achieved
Still Serving:
Select only if you are still serving in the military
Date of Birth:

DayMonthYear
Date
Date Joined Military:

DayMonthYear
Date
Date Discharged Military:

DayMonthYear
Date
Years of Service:
eg 20
New Membership Fees: Joining Fee $50.00AUD

Yearly Subscription $15.00AUD per year.

Please note maximum number of years you may pay in advance is five years.
All Membership fees are payable by Direct Deposit to the ORA Membership Account:

ACCOUNT NAME: Ops Room Association

BSB: 037-604

ACCOUNT NO: 334430

Please put your Surname and ORA Membership No in your deposit comments line.

A receipt number, will be emailed to you once monies have been received by the ORA treasurer.

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

Thank You!
Subscriptions:
Joining Fee:
Amount Deposited:
Total amount deposited into the Ops Room Association Bank Account. eg $50.00AUD 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

New Membership Fees: Joining Fee $50.00AUD

Yearly Subscription $15.00AUD per year.

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

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