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 Australia)
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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