Membership Application

I apply to become a member of the Wootton Community Network Inc.

I understand that the aims of the association are

• to see the local area prosper once more, with improvements to existing services and the creation of

employment opportunities in an environment of community not isolation.

• to enhance the lives of people living within the local community.

• to serve as an example to other small isolated communities.

• to develop a sense of pride within the community.

The following information is submitted for consideration of my application:

ANNUAL MEMBERSHIP FEE: $12.50

Secretary will confirm via email if membership is accepted

Payable by direct deposit to:

Wootton Community Network Inc.

Regional Australia Bank

BSB: 932000

Account: 500023558

Reference: “WCN20” and your name

Please email when paid to notify the Treasurer brushturkey@live.com.au

Alternatively, you can post a cheque, pay by cash or card at a meeting or event at the Brush Turkey Café.