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EASTERN COMMUNITY BROADCASTERS |
| Eastern FM |
Membership Application
Name _________________________________________________
Address ______________________________________________
______________________________ Postcode ______________
Phone _______________________ Bus ____________________
I am interested in becoming a member of Eastern FM because:
______________________________________________________
______________________________________________________
I agree to abide by the Rules of Association of Eastern Community Broadcasters Inc which is available upon request.
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$30 Individual $45 Family $45 Group ______________ (Contact Person) $20 Concession (Retired/Stud./U'ployed) |
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| Signed ______________________ Date ___________________ | ||
| Please post this form to: Membership Officer, Eastern FM, Locked Bag 981, Croydon, Vic., 3136 |
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| If you have any other comments on our local Community Station please feel free to include your ideas or opinions. | ||