SAHCCAMembership V6

Scottish Australian Heritage Council

CLANS and ASSOCIATIONS MEMBERSHIP and INSURANCE

Please select New Membership or Membership Renewal

New Membership of SAHC SAHC Membership Renewal

Clan Society/Association

Applicant’s Name

Elected Position

Street Address

City/Town

State

Post Code

Phone Number

Email

Clan/Association Membership enquiries contact for SAHC website:

Contact Name

Phone Number

Contact Position/Office

Contact Email

Clan/Association Website URL

We wish to receive the SAHC newsletter by email:

YES NO

Annual Membership for Clans & Associations:

Membership $25.00

Donation:

Donations in increments of $5.00 please

Optional - Public Liability and Volunteer Personal Accident Insurance
Please select from the following if you require insurance.

$20 million Public Liability + Volunteer Insurance annual payment - $228

Please indicate how you will pay by selecting one of these options (tick one).
Details for payment will be provided on the invoice emailed to you after you submit your application.

Cheque EFT - Electronic Funds Transfer

Please include your name or Clan name or association name in the “account description” field.

If paying by cheque please print the email you’ll receive after submitting this form
and enclose it with your cheque to:
Carol Budlong, Hon. Secretary, Scottish Australian Heritage Council
15 Walter Street, Bondi Junction, NSW 2022

( Please inform the Membership Secretary PROMPTLY SHOULD YOU CHANGE your postal, email or website contact information: members@scottishaustralianheritagecouncil.com.au )

Carol Budlong
Hon. Secretary/Director Publicity
E: info@scottishaustralianheritagecouncil.com.au

By submitting this form you agree to abide by the Constitution of the
Scottish Australian Heritage Council (available on the SAHC website:
www.scottishaustralianheritagecouncil.com.au)

Scottish Australian Heritage Council Inc. ABN: 63 074 358 702