Bruny Island Boat Club Inc
ABN:  52350203396  
Membership Form 2011/12
Your membership is valuable for the Club to continue in its efforts to improve Boating facilities on the Island   

 TOTAL AMOUNT DUE: $11.00 incl. GST     Please print this form and post
Name………………………………………………………………………………..…………………………………...
Address………………………………………………..…………………………………………………………………
Phone………………………..……………………………………..Mobile……………………….……………………
Email…………………………………..…………………………….................................................................
Post to : Treasurer, Bruny Island Boat Club, C/- Post Office, Alonnah, TAS 7150    
              info@brunyislandboatclub.com
Pay either by cheque or EFT
Cheque - Please make cheque payable to Bruny Island Boat Club Inc.
or Electronic Funds Transfer -
BSB 067105, Acc No. 10249291, Acc Name: Bruny Island Boat Club, Ref: Use your name

  This Form Last modified 15/07/2011