Membership Application Form

Membership Application

Membership year for Goulburn AP&H Society Inc. runs from 1st June until 31st May the following year.
Applications close 31st January

Please select appropriate option*

Renewal of MembershipNew Membership

Please select type of membership*

Family Membership (2 adults & 2 children under 18 years - additional child $5) Annual fee $30Couple Membership (2 adults) Annual fee $25Single Membership (1 adult) Annual fee $15Next Gen (1 adult age 18-35 years) Annual fee $10Junior Membership (child under 18 years) Annual fee $5

Name*

First NameLast Name

Name

First NameLast Name

Email address

ex: myname@example.com

Postal address

Postal address line 2

Suburb

State

Postcode

Phone

Country

Junior & family members under the age of 18 years

Name

Birth Date

DayMonthYear

Name

Birth Date

DayMonthYear

Name

Birth Date

DayMonthYear

Name

Birth Date

DayMonthYear

Benefits of Membership

Members 18 years and over have the right to attend and vote at the AGM and General Meetings and nominate for election to the management committee.
Admission and parking on the grounds for the two days of the Show.
The satisfaction of supporting, volunteering and belonging to one of your community's greatest organisations.

Payment Details

Cheque made payable to Goulburn AP&H Society Inc.
Payment by direct deposit to Westpac BSB 032721 A/C 113343 - Please reference with member's name & email info@goulburnshow.com.au
Payment by VISA, MasterCard or American Express is available at the office or by phone on (02) 4821 6813.