Membership Application Form – Fair Haven Retirement Village

Fair Haven
Retirement
Village

MEMBERSHIP APPLICATION FORM

First Name (Applicant 1)

Last Name (Applicant 1)

First Name (Applicant 2)

Last Name (Applicant 2)

Address

Suburb

State

Post Code

Email Address

Contact Number

Current Member of the Free Reformed Church of

I understand that membership is free, but in order to meet the budget requirements as presented at the recent Annual General Meeting, the requested minimum recurrent donations are presently set at $23.00 per week or $11.50 per week for pensioners and students. These amounts are reviewed annually.

I commit to donating

Additional Information

Payment Method

Payment Frequency

Commencement Date

DECLARATION

I/We agree to abide by the Free Reformed Retirement Village’s Constitution

I/We declare that I am a /we are current member(s) of the Free Reformed Churches of Australia

Date

View the latest Constitution HERE

Membership Application Form (Printable Version)