Become A Member For

                                                 Family                                           $35 p.a.
                                     Single Adult                                  $25 p.a.
                                     Pensioner/Concession Family    $25 p.a.
                                     Student/Concession                    $15 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.

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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: …../…../…..