Putty Community Association Inc

Putty Community Association Inc

408 Putty Valley Road, Putty NSW 2330 (first post box after Putty Hall)
Email

The Putty Community Association invites community members to join or renew their membership of the association. Applications can be posted, emailed to the above addresses.

Date:______

Name(s): ______

Putty Address: ______

Postal Address: ______

Ph: Putty: ______Other Home: ______Work: ______

Mobile: ______Fax: ______Email: ______

(Please provide email details to save printing and postage costs)

* I/we give permission for Putty Rural Fire Brigade to use my/our details to contact me/us in the event of fire or other emergencies affecting my/our property in Putty.

Suggestions for PCA activities, social and other:

______

Offers of assistance/skills: ______

Please tick if required

* PCA monthly email newsletter – keeps you informed of events at Putty

or

* PCA monthly newsletter delivered by post

* I/we want to be listed in the Putty Business Directory.

Heading: ______

Phone: ______

NEW MEMBERS OR RENEW MEMBERSHIP

Membership $20 per person

I/we enclose cash/my cheque for $………...being my/our membership fee at $20 per person until 31 January 20…. and/or a donation of $......

or

I/we have paid $...... by direct debit on……../……./20….
Email for BSB & Account No.

I/we agree to comply with the Rules of The Association.

……………………...... …………..………………...... Signature of Applicant Signature of Applicant Date