Applicant's Details

Full Name:Address:

Email:Mobile:I wish to become a member of the Cyprus Community Northern Suburbs Melbourne. I agree that if accepted, I will be bound by the Constitution and all Rules of the Community.

I agree to the declaration above

Membership Fee:

I acknowledge that a once-off joining fee of $20 applies, which includes $10 for the first year’s membership.*This includes either an annual membership ($20) or a lifetime membership ($200).

I agree to the declaration aboveDate Signed: