Royal National Capital Agricultural Society Presenter of the ActewAGL Royal Canberra Show and The National Wine Show of Australia™ the Royal Canberra National Poultry Show, The ActewAGL Canberra Regional Wine Show, Extra Virgin Olive Oil Show, Home & Leisure Show MEMBERSHIP FORM PO Box 124 MITCHELL ACT 2911 Phone: 02 62412478 Fax: 02 62411712 Email: email@example.com Internet: www.rncas.org.au Membership Options Membership $75.00 Life Membership $750.00 (Open to current Financial Members) Associate Membership $35.00 (under 25yrs of age) Change of Address If paid before 1 July 2010 Ordinary & New $65, Associate $30 Please see Membership Benefits over page Personal Details Title First Name Surname Postal Address State Postcode Phone Numbers Occupation ( ) ah ( ) bh Email address Date of birth (if <18yrs) (DD/MM/YY) Signature (Parent/Guardian to sign if under 18 years of age) Method of Payment Please find enclosed my cheque / money order for $ I do / do not require a receipt. Please charge fees to my: MASTERCARD VISA (Please circle one) Card Number Expiry date / Cardholders Name Cardholders Signature Cardholders Postal Address Members Child Tickets (CHILD OF MEMBER) - NOT INCLUDING GRANDCHILDREN, NIECES OR NEPHEWS For the issue of Member's Child Ticket(s), please supply the names and birth dates of children who will be aged between six (6) years and under sixteen (16) years as of 25 February 2011. 1 Childs Name Date of birth (DD/MM/YY) 2 Childs Name Date of birth (DD/MM/YY) 3 Childs Name Date of birth (DD/MM/YY) 4 Childs Name Date of birth (DD/MM/YY) Reason for joining the Society Are you interested in assisting in a particular Committee or Section? YES / NO Please indicate any particular interests or skills you have, that may benefit the Society. Schedules All schedules may be downloaded from the RNCAS webpage. www.rncas.org.au Membership of the Royal National Capital Agricultural Society The ActewAGL Royal Canberra Show will be even more enjoyable when you join the RNCAS as a member. The special privileges reserved for members are as follows: Avoid the queues as you receive free admission for you and a guest on each day of the ActewAGL Royal Canberra Show; Free parking in the two conveniently located Members Car Parks; Enjoy prime viewing of all Main Arena entertainment when you use your access to the Member's Facilities, including the air-conditioned Dining Room and Bar and reserved seating section of the Grandstand; Enjoy reduced entry fees in many of the competitive sections of the ActewAGL Royal Canberra Show; Purchase of additional Guest Badges for $35 upon request; Entry to The Canberra Times Home, Leisure, Caravan, 4WD & Camping Show; Enjoy discounted tickets to the Presentation Dinner of The Vintage Cellars National Wine Show of Australia held at Parliament House in November - more details available from the RNCAS Office; and Discounted entry to the ActewAGL Canberra Regional Wine Show Tasting evening held in September. Privacy Statement: You can be assured that the privacy of your personal information is of the utmost importance to us. The information provided by you in any application for membership is used by the Royal National Capital Agricultural Society (RNCAS) to offer member services at the ActewAGL Royal Canberra Show. By applying for membership you consent to provide such details as your name and address. Your information will not be disclosed without your consent for any other purpose unless required by the law.