Wikimedia Australia/Membership form
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)
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| Signature of Applicant | Date / / |
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| e-mail address |
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I, , |
| (name) |
a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.
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| Signature of Proposer | Date / / |
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I, , |
| (name) |
a member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association.
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| Signature of Proposer | Date / / |