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TEA GARDENS COUNTRY CLUB LIMITED 2a Yalinbah Street TEA GARDENS

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TEA GARDENS COUNTRY CLUB LIMITED 2a Yalinbah Street TEA GARDENS Powered By Docstoc
					                                 TEA GARDENS COUNTRY CLUB LIMITED
                     In the best interest of its Members, Guests and the Community the club promotes
                           Responsible Service of Alcohol and Responsible Conduct of Gambling
                                                      ACN 001038666


                                2a Yalinbah Street TEA GARDENS NSW 2324

                                      NOMINATION FOR MEMBERSHIP

                           To the Directors of the Tea Gardens Country Club LTD

                     I, M……………………………………………………………………..

                                                           Of

     …………………………………………………………….………………………………………………
                      (Postal Address)

      Occupation:…………………………………………………. Date of Birth:……………………….

    Contact Number………………………………….Email Address………………………………………

          (a)  Desire to become a full member of the club and request you enter my name in the register of Members
                                                           accordingly.
       (b) I agree to be bound by the Memorandum and Articles of Association and agree to any rules and regulations or
                                        by-laws of the club from time to time that are enforced.
       (c) I am aware of the Occupational Health and Safety Act and declare that should I undertake any voluntary work
               for the club it is because I have the competency and the expertise to carry out the task at my own risk.

                              I HEREBY DECLARE THAT I AM OVER THE AGE OF 18 YEARS.


                    Signature of Applicant:………………………….………………………….

                                        Date:……………….……………………

       Please state if a present member or past member of any other club:………………………………………………………

                                     Nominator must be financial club member.

        I propose M…………………………. who has been known to me for. ……………Years from
            my personal knowledge I consider the above applicant an eligible person in every way to
                            become a member of the Tea Gardens Country Club.

                Please print name of Nominator:………………………………………………….

       Signature of Nominator:……………………..……………….Membership Number:……………….

                                     Seconder must be financial club member.

        I propose M…………………………. who has been known to me for. ……………Years from
            my personal knowledge I consider the above applicant an eligible person in every way to
                            become a member of the Tea Gardens Country Club.

                Please print name of Nominator:………………………………………………….

       Signature of Nominator:……………………..……………….Membership Number:……………….

                                                      Privacy Statement

          The Tea Gardens Country Club is subject to the provisions of the Privacy Act 1988. The personal information
          provided by you on this form will be used to process your membership application. The Club does not usually
                 disclose your personal information to any other organization or person unless required by law.

                        $11.00 MEMBERSHIP FEE MUST ACCOMPANY THIS FORM

You can print a membership form from our website: teagardenscountryclub.com or pick one up at the club.

				
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Description: TEA GARDENS COUNTRY CLUB LIMITED 2a Yalinbah Street TEA GARDENS