membership form

Australian Kite Association
Membership Form

New membership .....
Family $40 .....	Individuals $40 ......

First Name/s	..............................................................................
Family Name	..............................................................................
Address	.............................................................................. ..............................................................................
State	..............................................................................
Postcode	...............
Country	..............................................................................
Telephone	..............................................................................
Facsimile	..............................................................................
(for statistical purposes)
- Occupation	..............................................................................
- Age	...........

Declaration
I hereby apply for membership of the Australian Kite Association, Inc.
I agree to be bound by the Rules of the Association.

Signature	...................................................
Date	....................................................

Please Note: Benefits of cover by the Association’s public liability insurance is only available to
members in Australia.

Please send this form, with a cheque made out in Australian Dollars for the appropriate amount, to:

The Secretary, Australian Kite Association
88 Beach Road Torquay, Victoria, 3228 Australia