Wikimedia Australia/Membership form

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APPENDIX 1

APPLICATION FOR MEMBERSHIP OF

WIKIMEDIA AUSTRALIA INC.


I,                                                                                       , (name and occupation)

of                                                                                       (address)

desire to become a member of Wikimedia Australia Inc.

In the event of my admission as a member, I agree to be bound by the rules of the Association for the time being in force.

I agree to receive information on all meetings by e-mail to the e-mail address given below. (Delete if not applicable, and you will
then receive notice by Australia Post)

                                                                                     

Signature of Applicant Date     /     /          

                                                                                     

e-mail address


I,                                                                                       ,

(name)

a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.

                                                                                     

Signature of Proposer Date     /     /          


I,                                                                                       ,

(name)

a member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association.

                                                                                     

Signature of Proposer Date     /     /