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MEMBERSHIP APPLICATION & MULTI-WALK CARD ORDER

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MEMBERSHIP APPLICATION & MULTI-WALK CARD ORDER Powered By Docstoc
					                            FRIENDS OF THE HEYSEN TRAIL AND OTHER WALKING TRAILS INC.
                              10 Pitt Street, Adelaide, SA. 5000 Phone (08) 8212 6299 Fax (08) 8212 1930
                             Website:www.heysentrail.asn.au            Email:heysentrail@heysentrail.asn.au

                 MEMBERSHIP APPLICATION & MULTI-WALK CARD ORDER
                New Member Application [$10 joining fee]                     Membership Renewal                  Multi-Walk Card Order

Membership Number:

Main Contact:         Title [Mr Ms Mrs]                                 Second Contact:           Title [Mr Ms Mrs]


                                 First Names                                                              First Names


                                 Family Name                                                              Family Name
Date of Birth                             Male        Female            Date of Birth                              Male              Female

Profession [or, if retired, former profession]                          Profession [or, if retired, former profession]


Postal Address                                                          Email Address
Suburb/Town
State                                   Postcode                        Telephone- Day                                                [H/W]
                                                                           - Mobile
Email Address
                                                                        Interest/ Skills
Telephone- Day                                           [H/W]
   - After Hours                                                        Children under 18 [Additional children, if any, on a separate sheet]
   - Mobile
                                                                                   First Name                    Family Name
Interest/ Skills                                                        Date of Birth                              Male              Female


                                                                                   First Names                   Family Name

                                                                        Date of Birth                              Male              Female
Please Note: Family membership comprises a maximum of 2 adults and any children under 18 years of age living at the same address.
Please provide the names and date of birth of each child as our insurance requires that we record each child covered by this membership.


   MEMBERSHIP CATEGORIES: & Annual Subscription [please circle required membership]
   SINGLE: $20.00               FAMILY: $30.00                SCHOOL: $50.00                 ORGANISATION: $50.00
                           Members need to arrange their own Personal Accident and Ambulance Insurance

   AMOUNT PAYABLE                     MEMBERSHIP FEE Single/Family/School/Organisation                           $ .............
                                      One-off joining fee of $10.00 – [New Member Application Only]              $ ………..
   Multi-Walk Cards                   Optional Multi-walk-card :       …... @ $25.00                             $ .............
                                      Optional Golden Boots Card : …… @ $50.00                                   $ .............
   See over for walk and
                                      Name for walk card (1) …………………………………………
   walk card details.
                                      Name for walk card (2) …………………………………………

                                      TOTAL AMOUNT OF PAYMENT ENCLOSED                                            $ ..............

   CREDIT CARD PAYMENTS
                                           Please charge my:                          MasterCard                 Visa



      Cardholder’s Name as shown on Credit Card: …………………………………………………….
      Amount: $ ……..…….          Exp. Date:                   Signature:

Ver. 7 Aug 2007                                                                                                                          PTO
For Our New Members – We are interested in where you first heard about the Friends Of The Heysen Trail?
        Media (paper/TV/radio)     (Specify which one, where and when) ….…………………………………………………..
        Heysen Trail Promotion     (Specify where and when) ……………………………………………………………………
        Friends HT internet site             Friend / another walker              Existing Member
        Other (Specify) ………………………………………………………………………………………………………………


  WALKING FEES - Friends Of The Heysen Trail programmed walks
          Day Walk Charges :    Members $7.00 Non Members $7.00 Children (under 18) $1.00
          Summer Twilight Walks : $5.00 per walk.
   • Multi-Walk Card:   $25.00 for 5 walks. This card is valid for 12 Months from date of issue.
   • Golden Boots Card: $50.00 entitles you to attend all day-walks for One Walk Season. [not twilight walks]
         PLEASE NOTE: MULTI-WALK AND GOLDEN BOOTS CARDS ARE NON-TRANSFERRABLE



  Can You Help Out ?
          The Friends’ is a volunteer organisation.
                                                                                                 Please tick box if you
          We are regularly looking for volunteers to assist with our activities:                    would like more
                                                                                                      information
          1)       Maintenance on the Trail
                          This can be for a day or a weekend Involving
                          placing/replacing markers, Trimming and clearing trees,
                          bushes etc Checking/repairing shelters and water tanks
                          Re-routing the trail.

          2)       Office work – casual work – from one day a fortnight. Usually
                           between 10.30am- 2.30pm weekdays. Duties: Taking walk
                           bookings, “Selling” maps & books, Assisting with trail and
                           walking enquiries, and Maintaining membership records

          3)       Walk Organisation and Leaders
                          Leading walks or Assist the walk leader/s

          4)       Trailwalker Production and distribution. Help with production of
                           our valuable magazine, And assisting the distribution / mailing-out

          5)       Management of the Friends
                         Committees run our organisation and input and assistance is
                         required in Finance, Promotion & Marketing, Management &
                         Strategy, Resource Management, and Bushwalking etc. etc.
  NB: We will not drop you in the deep-end but will assist or train you for the jobs involved!

Interested ?           Just tick the relevant box on this page and we will call you for a “no obligation” chat.

  OFFICE USE ONLY:
          MEMBERSHIP NUMBER:                                 For New Members only:
          RECEIPT NUMBER:                                    REGISTERED:
          MEMBERSHIP CARD:                                   TRAILWALKER:
          REGISTERED:                                        BUMPER STICKER:



                          SEND THE COMPLETED FORM WITH PAYMENT TO
                                   THE MEMBERSHIP OFFICER
                   FRIENDS OF THE HEYSEN TRAIL 10 PITT STREET, ADELAIDE, 5000

                               TELEPHONE (08) 8212 6299        FAX (08) 8212 1930

        ANNUAL SUBSCRIPTIONS BECOME DUE AND PAYABLE 12 MONTHS AFTER JOINING.

				
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Description: MEMBERSHIP APPLICATION & MULTI-WALK CARD ORDER