Membership Application Gympie Community Solar Assn.

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The annual membership is $10.

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Full Name: ___________________________________________

 Address: ______________________________________________

                 _______________________________________________

 

Email: ________________________________________________

 

Phone No: _______________________________

 

Signature: _______________________________ Date: ____________

 

Potential members of this Association are advised that Gympie Community Solar Assn has no public liability insurance.

 

Donations are also welcomed to help fund our displays and promotions.

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Membership $10.  Donations: $_______________ Total Payment : $_________

 

This payment should be either(circle action taken):

a) Paid to the treasurer or,  b) Paid to stall volunteers, or c) deposited direct into the account.

 

Account Name: Gympie Solar Projects.  Account No. : 10557379.  BSB: 064416. Bank: Commonwealth

Branch: Gympie.  Reference (your family name):___________________________

 

Send the completed and signed application form by:

Post: Secretary, Gympie Solar Projects, 14 Heather St, Southside. 4570.

Email: gymregsolpro@gmail.com

 

All payments will be acknowledged with a receipt. Receipt No.:

 

Treasurers Signature: _______________________________

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