SAHCFamilyMembershipV3

Scottish Australian Heritage Council

FAMILY, INDIVIDUAL, STUDENT MEMBERSHIP

Please select New Membership or Membership Renewal

New Membership of SAHC SAHC Membership Renewal

First Name

Surname

Street Address

City/Town

State

Post Code

Phone Number

Email

Interests

Occupation

Annual Membership:

Family $25.00 Individual $20.00 Student $10.00

Choose one option only

Family applies to members of the one family occupying the same household.

Donation:

Donations in increments of $5.00 please.

(Please complete Study Details only if you are applying as a student):

Study details

Students to provide proof of current course of study by emailing a picture of your study timetable to: members@scottishaustralianheritagecouncil.com.au

List all of the names in the family to be included in the Family Membership:

Name 1

Name 2:

Name 3:

Name 4:

Name 5:

Name 6:

We wish to receive the SAHC newsletter by email:

YES NO

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
14 Walker 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
Honorary 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