The Ice Skating Club of NSW Co-Operative Ltd

The Ice Skating Club of NSW Co-Operative Ltd

Membership Form
COIR is owned by a co-operative and membership fees are as follows: Initial application fee $5.00 Share capital $11.00 Annual membership fee $50.00 Total first year fee: $66.00* *After the first year, the ongoing annual membership fee is currently $50.00, due by 31st December for the upcoming year.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000000000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What Club are you affiliated with
It other please specify (ie another club or friend/relative)
Current Occupation
Membership is by nomination through a current member, please specifiy the current member who has nominated you.
I have read and understand the Rules of the Ice Skating Club of NSW Co-operative Ltd. (Rules are located on the website)
I understand that I need to wait for a conformation email that approves my I understand that I need to wait for a confirmation email approving my membership application. Once I receive this email, I will make payment and then await my share certificate, which will confirm my status as an active voting member.
Should be Empty: