3 TRANSPORT ASSOCIATION (INCORPORATED) (Incorporated under the Associations Incorporation Act, 1984) SUBSCRIPTION/MEMBERSHIP APPLICATION To:                                                                                                                  Telephone: (02) 6582 6276 The Secretary/Treasurer                                                                             E-mail: threetransportassoc@bigpond.com 3 Transport Association 3 Orion Close PORT MACQUARIE NSW 2444 Surname: ......................................................................             Given Names: ........................................................................ Address: ............................................................................................................................... .......................................................................................................Postcode:……………………. Home Telephone: (     )....................................... Work Telephone: (     )............................................................ Fax: (     )…………………………………………..       Mobile:…………………………………………………… Email Address:...............................................................................   I hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the rules of the association for the time of being in force. Under the Privacy Act 1988, 1 consent to the disclosure of my personal particulars given above to other members of the 3 Transport Association. Yes   /  No   (please circle your response) Signature of Applicant: .....................................................                                     Date: .................................................         Joining Fee                  $ 10-00 (One-Off Fee) Subscription:                            $ 10-00 (1Jul to 30Jun) Donation:           Name Badge:                       RAASC/RACT $ 12-00             Name to Appear on Badge:___________________________                       RAEME           $ 12-00                                                                         Please Print RACT Dress Tie:          $ 40-00           RAASC Tie:                 $ 40-00 RAASC Pocket:            $ 40-00 RACT   Pocket:            $ 40-00                                                       ________________               Total                            $_________                                                                                                                                 (All cheques etc. should be made payable to 3 Transport Association Inc)                                                                                                                                                                                            Revised Oct 07.