RUSI Western Australia
Application for Membership
Surname ..................................................................................... |
| (Other Names) ............................................................................. |
| Post Nominals ............................................................................. |
| Rank/Title ...................... |
| Address ...................................................................................... |
| ...................................................... Postcode ............................. |
Ph (H) ....................................... Ph (W) ...................................... |
| Occupation ...................................................................................... |
| I hereby apply for membership as a TOWN/ASSOCIATE/COUNTRY member of the Royal United Services Institute of Western Australia and undertake to abide by the Constitution Rules and By-laws of the Institute |
Signature ......................................... Date................................... |
| Proposed by ................................. Seconded by ........................... |
| Post Nominals ............................................................................. |
| Approved by Council on ......./......./......./ |
| President .................................................................................... |
Subscriptions
Town Member: $35.00 pa
Country Member: $25.00 pa
Defence Member: $10.00 pa
Associate Member: $ 5.00 pa
Membership Applications should be posted to:
The Secretary
RUSI of WA
c/-Department of Defence
Locked Bag 5001
FREMANTLE WA 6160