APPLICATION FOR MEMBERSHIP

  APPLICATION  FOR  MEMBERSHIP  OF   KINGLAKE  RANGES  RADIO  Inc.,   1  Robertson  Rd  Kinglake  Vic  3763     I………………………………………………………………………………………………   (name  in  full)       Occupation……………………………………………………………………..     Of……………………………………………………………………………………desire  to  become  a  member  of   (address)     KINGLAKE  RANGES  RADIO  Inc.,     In  the  event  of  my  admission  as  a  member,  I  agree  to  be  bound  by  the  rules  of  the  ASSOCIATION  for  the   time  being  in  force.       ………………………………………………   (Signature  of  Applicant)       Date       Joining  Fee:    one  dollar   Annual  Subscription:  Twenty  two  dollars.         NB.  Subscriptions  are  not  pro  rata   All  Subscriptions  start  July-­‐June  each  year       All  applications  to  be  sent  to  the  Station  Manager