How To Become A Member?

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.

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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: …../…../…..