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MEMBERSHIP APPLICATION WA Rangers Association (Inc) PO Box 334 North Beach 6920 WESTERN AUSTRALIA Tel: (08) 9448 7565 Fax: (08) 9203 7565 |
Membership is open to people who hold full or part time positions of responsibility in:
Local Government Law Enforcement or allied fields.
Fees are $50 for one year membership (2010) or $120 for three years (2010-2012)
Please complete this form and mail, fax to WARA, cheque or money orders should be made payable to WA Rangers Association Inc.
EFT to Acct No 06 6507 10134200
SURNAME Mr / Mrs / Ms
__________________________________________(Please Print)
FIRST NAMES___________________________________________________________
ADDRESS_______________________________________________________________
____________________________________________POST CODE_________
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CONTACT DETAILS - WORK: Phone ______________________________ Mobile _____________________________________ Email ______________________________________ HOME (all optional): Phone ___________________ Mobile ______________________________________ Email _______________________________________ EMPLOYER_______________________________ (Name of Council / Organisation) POSITION / TITLE_________________________ (Senior Ranger / Ranger etc) |
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COMMENCEMENT DATE OF DUTIES____________________________ SIGNATURE__________________________________________DATE_______________ OFFICE USE ONLY------ MEMBERSHIP NUMBER ALLOCATED__________ MEMBERSHIP CARD SENT________________ RECORDS UPDATED _______________ |
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