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BNT Membership Application

Membership year is from July 1 to June 30. 
New members joining after January 1 of any year remain current until June 30 of the following year.

Complete the form below and post with your payment to:
The Bicentennial National Trail (ACN 010 860 143)
PO Box 259, Oberon, NSW, Australia 2787
Phone 1 300 138 724 (within Australi
a)
International +61 7 5498 8001

I support the multi-use concept of the Trail and will ensure to the best of my ability that the Trail is used,
enjoyed and preserved as a multi-use, non-motorised recreation trail without favour to any one particular user group. 
I understand that my liability as a member of the BNT is limited under its incorporation to $100. 
As a trekker I will abide by the trekking code.

Name:___________________________________________________________________________

Postal Address:____________________________________________________________________

____________________________________________________________ Postcode___________

Phone (Business): _____________________________ Phone (Home): ______________________

EMAIL Address: _____________________________

MEMBERSHIP FEE:
$30 for individuals: [_]      $45 for Family or Club: [_]      Three years (multiply by 3): [_]

DONATION (Donations $2 and over are tax deductable)
[_] $20    [_]  $50    [_] $100    [_] $500    [_]  Other __________

In partnership with the National Trust of Australia Bicentennial National Trail Heritage Appeal

PAYMENT BY CREDIT CARD:
Please charge $........... to my [_] Mastercard,    [_] Visa

Cardholder Name: _______________________________________________________

My card details are:            Expiry date (day/month/year): [__][__] [__][__]

[__][__][__][__] [__][__][__][__] [__][__][__][__] [__][__][__][__]

Cardholder's Signature: _________________________________________________

PAYMENT BY CHEQUE OR MONEY ORDER:
Cheque [_]   Money order [_] (Please make payable to Bicentennial National Trail)

Do you wish to receive a copy of the Annual Financial Statement prior to the AGM? Yes [_] No [_]

I am primarily a [_]walker, [_]horserider, [_]cyclist, [_]donkey packer, other ...............................

How did you find out about the BNT?
Website[_] Word of mouth[_] Magazine or newspaper article[_] Other[_]....................................

All annual membership renewals are due 30th June

 

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