Gympie Community Solar Assn.
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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