2011 Membership Form

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2011 Membership Form Powered By Docstoc
					                                  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: Internet:
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

   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.

   All schedules may be downloaded from the RNCAS webpage.        
                                 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

 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.

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Description: 2011 Membership Form