Jika Jika Community Centre Inc.
Membership Application Form
The form needs to be printed off and returned to:
Jika Jika Community Centre Inc.
P/O Box 2
Northcote 3070
I agree with the Aims and Objectives of the Jika Jika Community Centre Inc.
as stated in the Constitution of that organisation and to work towards
them.
NAME: _____________________________________________________
ADDRESS: _____________________________________________________
_____________________________________________________
_____________________________________________________
POSTCODE: _____________________________________________________
TELEPHONE: (Home): _____________________________________________
(Work): _____________________________________________
(Mobile): _____________________________________________
SIGNATURE: _____________________________________________________
DATE: _____________________________________________________
Please note this Membership Form is only valid if it has been returned
to the Centre Office.
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