UNIVERSITY OF NEW SOUTH WALES REGIMENT ASSOCIATION

LIFE MEMBERSHIP NOMINATION FORM *

I hereby nominate for Life Membership of the University of New South Wales Regiment Association .

Military status

(Please mark status applicable)

·         Active as a member of ................................................(add current unit)

·         Standby Reserve

·         Retired

·         Discharged

I commenced service as a member of the University of New South Wales Regiment in………… (year).

Contact details

Membership and subscription fee

The Association Constitution provides for Life Membership as the sole type of membership for any person who has served as a member of the Regiment. A once only subscription fee of $40.00 applies, either in total or in two installments of $20.00 over 12 months.

Payment of the subscription fee may be made either by cheque or money order with this nomination form to the Honorary Secretary at the postal address shown below or by an electronic funds transfer to the Association’s bank account. Please email the Honorary Secretary at secretary@unswr.com for the Association’s bank account details if you propose to make your subscription by an electronic funds transfer.

Signature of nominee ………………………………………………..Date …………………………………

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Please send completed form (& subscription fee if by cheque or money order) to:

Honorary Secretary, UNSWR Association, Day Avenue, Kensington, NSW 2033