MEA New Membership Application

New Member Registration Form
MEA fees payable by EFT to MEA Inc BSB: 633-000 (Bendigo), Account: 156073868 or by cheque to MEA, PO Box 1031, Wendouree Village, VIC 3352 or

Current Fees

MEA Membership only $10 (You will be required to hold a current insurance policy with the ARA)

MEA Membership + ARA Public Liability Insurance $30 (please organise ARA cover directly by going to http://re-enactors.org.au/Membership-Renewals)

(Please note- we encourage all members to take out the ARA Personal Injury Cover at an additional $30 cost)

Your membership will not be finalised until it has been approved by the committee, club fees have been paid and public liability insurance has been confirmed.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City / SuburbState

Post Code
Phone Number*

Area CodePhone Number
Contact E-mail*
Date of Birth*

DayMonthYear
Date
Firearms License / Permit Number
Firearms License Expiry Date

DayMonthYear
Date
Firearms License State of issue
Commissioner's Weapon Exemption
Weapons Exemption State of Issue
YesNo
What other groups are you involved with
Period of interest
I hereby apply to be a Member of the above Organization. I hereby agree to abide by the Constitution and Rules of the organization, and will do all that is in my power to further the interests of such, and its members (if under 18, please get parent/guardian to sign).
I agree
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New Member Registration Form