New SAAMBR Membership form – Half Year

Name

First

Last

Preferred name

Date of birth

Email

Address

Mobile phone number

Membership:

MOTE: Half year membership Fee/s only available for – New Membership i.e., not been previously a MAAA member. or; – Persons who have had a break in membership i.e., was not a MAAA member in the previous (membership) year. If you are a renewing member (i.e., MAAA member in the previous membership year) please contact the SAAMBR Registrar or Secretary to renew your membership.

Have you been a SAAMBR member previously

Yes
No

Have you been a MAAA member previously

Yes
No

AUS number (if applicable)

if you are a previous MAAA member please provide your AUS number if known. Associate member applications must provide your AUS number to confirm “Current” MAAA membership

Proposer name:

First

Last

if you have not done so yet please visit the club. New members are proposed and seconded by existing club members.

Seconder name

First

Last