Membership | RRSRA

RIVERTON, ROSSMOYNE SHELLEY RESIDENTS’ ASSOCIATION INCORPORATED

PO Box 2034 ROSSMOYNE 6148 Web: www.rrsra.org.au Email: messages@rrsra.org.au

MEMBERSHIP APPLICATION

I/We, the undersigned Applicant(s) make application for membership of the Riverton, Rossmoyne and Shelley Residents Association Incorporated.
having full knowledge of the Objectives and Rules of the Association as set out in the Constitution dated September 2017.

Given names *

Family name *

Email Address *

Telephone

Mobile

Address *

Concerns / Issues you would like to raise

please tick *I am over 18

please tick *I reside in Rossmoyne Riverton or Shelley

Tick any of theseI do not wish to receive the Monthly Newsletter.I want to volunteer my services to the RRSRA.

Please Choose *1 YEAR FREE MEMBERSHIPI would like to make a donation

In accordance with the Constitution, I am pleased to nominate the abovenamed applicant(s) for membership of our Association:

Member Full Name: Gail Barbera