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Become A Member For

                                                 Family                                           $25 p.a.
                                     Single Adult                                  $15 p.a.
                                     Concession/Student                    $10 p.a.
                                     Family Concession                      $20 p.a.
                           Allows Free Entry to Museum & Your Own Research.


A Membership Form can be obtained by writing to the Society or by collecting a Form from the Museum.

Completed Application Forms can be mailed to the Society or left in our locked letterbox at the Old School Museum.

...
MYRTLEFORD & DISTRICT HISTORICAL SOCIETY INC.
29 Elgin Street,
MYRTLEFORD   VIC   3737
​BSB No.  803 070           Account No.  1000 10729


APPLICATION FOR MEMBERSHIP

​I,  ........................................................................................................................................
​                               (Full name of Applicant)
of  ........................................................................................................................................................................
                                                    (Address)

​
TELEPHONE:  ………………………............
EMAIL:   ………………………………………………………..
​

requests to become a member of Myrtleford and District Historical Society Inc.

As a condition of my admission as a member, I agree to be bound by the rules of the Society.

​​​      
SIGNATURE:  ………………………………………………   DATE: …../…../
…..
​


​ I,   ...................................................................................................................................
                                                         (Full name of Member)
​

​as a member of the Society, nominate the Applicant, who is personally known to me, for Membership
​of the Society.


SIGNATURE:  ………………………………………………  DATE: …../…../…..

​ I,   ...................................................................................................................................
                                                         (Full name of Member)

​as a member of the Society, second the nomination of the Applicant, who is personally known to me,
for Membership ​of the Society.


SIGNATURE:  ………………………………………………  DATE: …../…../…..




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