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Murwillumbah Historical Society Inc. Murwillumbah Museum
2 Queensland Rd, Murwillumbah, NSW
Open 10AM-4PM Wednesdays, Fridays
  4th Sunday of the Month
(excluding Public Holidays)
School Groups and Tours by appointment

Phone (02) 6672 1865
PO Box 383
Murwillumbah 2484

EMAIL ADDRESS Research Officer:
Joan Fleming

Membership Form
MURWILLUMBAH HISTORICAL SOCIETY INC.
(incorporated under the Associations Incorporation Act 1984)

APPLICATION FOR MEMBERSHIP

I, _________________________________________________________________________
(full name of applicant)
of _________________________________________________________________________
(address)
telephone number _____________________ occupation ________________________________
hereby apply to become a member of the MURWILLUMBAH HISTORICAL SOCIETY 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.

................................................................. Date:     /    / 2005
Signature of Applicant

We are open Wednesdays, Fridays and every 4th Sunday 11am - 4 pm.

I, ________________________________________________________________________
(full name)
a member of the association, nominate the applicant, who is personally known to me, for membership of the association.

.................................................................. Date:     /    / 2005
Signature of Proposer

I, ________________________________________________________________________
(full name)
a member of the association, nominate the applicant, who is personally known to me, for membership of the association.

................................................................... Date:     /    / 2005
Signature of Seconder

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