DSV Membership Renewal Form

PLEASE READ

1. Personal Information & Privacy

We respect your right to keep personal information private, however we need sufficient information to register and contact you. Please let us know if there is any particular information you would like us to keep private.

2. Family Membership

Family membership provides a discount for two adults and two children. A family receives one copy of each magazine. Additional children can be added for an extra subscription. All family members must live permanently at the same address. Children must be under 18 years on 1st July. Children under 15 years of age join as Associate Members.

Please list the first and last names & and age range of each person.

You may add new members while renewing or removing others. Please note that any new members in a family must be approved by the committee.

3. Renewing Membership

Renewal confirms your continuing agreement with the Rules of the Society. Annual Subscriptions for the financial year starting July are due for renewing by 1st July. Your priveleges are suspended until payment is received. If payment is 12 months in arrears, you are considered to have resigned. If this has occurred or if you tender a written resignation, a New Member application would need to be submitted. Membership is not transferable.

If you want to apply as new Individual member or an entire Family of new members, please use the Membership Application Form.

4. Voting Rights

The Model Rules under the Associations Reform Act 2012 adopted by the Society specify member general and voting rights. All members are entitled to vote with the exception of Associate Members, non-financial or suspended members, and new members whose period of new membership is less than 11 business days.

Membership Type *

Individual Membership $70 Family Membership $130

Member's Name *

First Name Last Name

Are you under 15yo? *

Yes No

Mailing Address *

Address Line 1
Address Line 2
Town/Suburb	State / Territory
Postal Code	Country

Preferred Phone Number

Alternate Phone Number

E-mail *

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We may publish membership lists in Brayings, please identify any information you would NOT like to be shown:

Name Street Address Town Preferred Phone Number Alternate Phone Number Email address

Privacy

Second Adult Member - must live at same address as primary member *

First Name Last Name

First Child Member - Under 18yo - living at same address as primary member

First Name Last Name

Is this child under 15yo?

Yes No

Second Child Member - Under 18yo - living at same address as primary member

First Name Last Name

Is this child under 15yo?

Yes No

Additional Child Member - Under 18yo - living at same address as primary member

First Name Last Name

Is this child under 15yo?

Yes No

Additional Child Member - Under 18yo - living at same address as primary member

First Name Last Name

Is this child under 15yo?

Yes No

Child1

Child2

Child3

Child4

ChildCount

Charge for additional children

2 Children are included in the Family Membership. The fee for more is $25 per child, per year

Total Membership Fee Payable:

Australian Dollars

Payment Method *

Cheque or Money Order Direct Deposit

Send Cheque or Money order to

Donkey Society of Victoria Inc.&#13;&#10;Attn: Peter McNab, Membership Administrator&#13;&#10;1713 Cairnbrook Rd, &#13;&#10;GLENGARRY VIC 3854

Deposit Funds (at Bank or Internet) with

Donkey Society of Victoria, Inc&#13;&#10;BSB: 633-000&#13;&#10;Account Number: 110009818&#13;&#10;Please use your Name and SUBS as the reference

Select 'Cheque or Money Order' option above if you can't deposit directly.

Date of Direct Deposit *

Set the date your payment will be made (click the date picker icon) Date Picker Icon

How would you like Brayings Delivered? *

Post (Colour) Email (Colour)

How would you like Donkey Digest Delivered? *

Post (Black and White) Email (Colour)

Are any members of your family New to the Donkey Society of Victoria? (i.e. not current members) *

Yes No

Please write the names of all NEW members here *

By submitting this form, I confirm that I agree to abide by The Model Rules under the Associations Reform Act 2012 and policies adopted by the Society (available at www.donkey.org.au or can be sent to me by request). I accept that subscriptions are renewed on July 1st each year.

Please confirm that all family members have read and agreed to the above *

Confirm

I wish to apply for membership of the Donkey Society of Victoria Incorporated (A0000117Z). I understand that the Rules require new members applications to be approved by the Committee, and once approved, membership acceptance will be published in Brayings.

Please confirm that all NEW members have read and agreed with the above *

Confirm

I/we agree to abide by the Rules of the Society *

Yes

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