Maggie's Rescue Co-op Membership

Maggie's Rescue Co-op Membership
Full Name*

First NameLast Name
Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number*
Alternate Phone Number
Birth Date*

DayMonthYear
Member reference 1:
Member reference 2:
DECLARATION

1. I hereby apply to be admitted as a member of Maggie’s Rescue Co-operative Ltd.
2. I undertake to lodge, in accordance with the rules, the specified amount of fees
for both registration and membership on or before the commecement of my
membership.
3. If this application is approved, I agree to be bound by the rules of the co-
operative and any alterations thereof registered in accordance with the
Co-Operatives Act 1992.
Do you acknowledge that you have read and understood the above?*

Yes
Please sign here electronically*

Clear
FEES

Fees for membership of Maggie’s Rescue Cooperative Limited include:
Joining Fee: $2.00
Membership Fee (annual): $25.00
Concession Fee (annual): $15.00
Thank you for your support.

My Products*

AUDMembership

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