 |
MEMBERSHIP APPLICATION |
SANFA
Inc.
Greg Mathews Unit 5/11 Wakefield Street Kent Town 5067 South Australia phone [08] 8363 6916 |
FULL NAME: _____________________________________________________
ADDRESS:
POSTCODE: _____________
PHONE No: __________________________
WORK No: __________________________
OCCUPATION: _____________________________________
MAIN INTEREST(S) IN NATIVE FISH: ( please circle )
| COLLECTING | MAINTAINING | BREEDING | RESEARCH | OTHER |
If other please specify ___________________________________
MEMBERSHIP OF OTHER AQUATIC GROUPS: __________________________________
I have read and understood the code of conduct on the facing page of this application and agree to abide by this code.
SIGNED:
DATE: _____/_____/_____
ANNUAL FEE (please circle)
| FAMILY | ASSOCIATE | SINGLE |
Please complete and return to:
South Australian
Native Fish Association Inc.
The Treasurer:
Greg Mathews
Unit 5/11 Wakefield Street
Kent Town 5067
South Australia
phone [08] 8363 6916