/ 2018 Membership Application
For membership 1-Jan-2018 to 31-Dec-2018
Use this form to order 2018 coded rings. It needs to be lodged by the end of March 2017 if you want coded rings for 2018. Note change where coded rings must be ordered in multiples of 25.

New Membership Membership Renewal

Name:

(Full Name or Partnership Name. For partnerships, see additional sheet)

Address:

Postcode:

Telephone: (Home) (Mobile)

Status: Champion  Open 

Intermediate  Beginner 

Signed: Date:

Email Address ______

Junior (Under 16 years) or / New Beginner (first year) or / Partnership / All other members / Amount Paid
EDBS Membership / Free / $10 / $42 / $30
BCV Registration / $1 / $25 / $50 / $50
N.B. Only BCV members may order rings
Ring Orders / Number / Price per 10
Initial order for year / Price per 10
Followup order
Ring Code ______
Minimum Order 50 / $6 / N/A
Uncoded Rings
Minimum Order 20 / $6 / $7.80
Postage (All members ordering rings) / $10 / $10
Total

Summary of Membership Fees:

·  All membership applications are accepted subject to Eastern District Budgerigar Society Inc.

committee approval.

·  It is a condition of EDBS membership that all information disclosed on this application form may be forwarded to the Budgerigar Council of Victoria for the maintenance of their records.

·  Cheques should be made payable to; Eastern District Budgerigar Society Inc.

·  Postal payments should be forwarded to the Treasurer; Brian Abbott

If you wish to apply for membership online, paying by 14 Kingston Street

Direct Deposit, please email the treasurer Mt Waverley, Vic, 3149

for banking details Phone : 9808 1444

Budgerigar Council of Victoria Inc.

The 2018 Ring issue runs from 1st January 2018 to 31st December 2018

PRICE IS $60.00 per 100 RINGS

FOR THE FIRST ORDER EACH YEAR

ALL FOLLOW UP ORDERS INCUR A 30% SURCHARGE

MEMBER REGISTRATION FEE FOR 2018 IS $50.00

Order Qty. / 1st Order / Follow Up
20 / $12.00 / $15.60
30 / $18.00 / $23.40
40 / $24.00 / $31.20
50 / $30.00 / $32.50
100 / $60.00 / $78.00
125 / $75.00
150 / $90.00 / $117.00
200 / $120.00 / $156.00

The 2018 Ring issue runs from 1st January 2018 to 31st December 2018

UNCODED Rings – Minimum order quantity 20, multiples of 10.

CODED Rings – Minimum order quantity 50, multiples of 25.

All orders to include $10.00 for postage.

Remember ALL ring orders MUST be forwarded through your club.

2018 Membership Application

Additional information for partnerships at different addresses.

Please ensure the address on the main form is the address for delivery of rings.

Where a partnership consists of members at different addresses, we may need to contact either partner. In order for EDBS and BCV to have complete records, if this applies to you, please fill in the following:

Partner 1.

Name:

Address:

Postcode:

Telephone: (H) (W)

Email Address ______

Partner 2.

Name:

Address:

Postcode:

Telephone: (H) (W)

Email Address ______