Dandenong RangesRenewable Energy Association

MEMBERSHIP APPLICATION

Full Name: _______________________________________
Address: ________________________________________
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Email:_________________________________ Phone: ______________________________


The Annual Membership Fee is $10. per Family (1st July-30th June).

Your application will become effective on receipt of your membership fee.

Please post your Membership Application form and fee to: Dandenong Ranges Renewable Energy Assoc. PO Box 1002 Upwey Vic 3158

Or Pay by direct deposit to: Bendigo Bank. Account: Dande Ranges Renewable Energy Assoc. BSB 633108 Account: 131763666 Please use your first initial and surname. Please email our Treasurer, Paul pbilton@emeraldtax.com.au the receipt number so we can match it with our records.

By paying your membership fee you apply for membership of the Dandenong Ranges Renewable Energy Association ( "the Association") and, in the event of your admission as a member, you agree to abide by the Rules of the Association for the time being in force.

If I am admitted to membership of the Association I agree to be bound by the Rules of the Association for the time being in force.

SIGNATURE: ______________________

DATE: ________________