Highfields FC.

Inc
PO Box 210 Highfields Qld 4352

Phone 0400 139 149

www.highfieldsfootball.org.au
ABN: 19 565 167 863

MEMBERSHIP FORM
2018

Highfields FC Inc invites you to apply for membership.

Approved members must be over the age of 18 and are entitled to:
 voting rights at meetings.
 hold positions on the management committee.
Please note: All Memberships except for Life Memberships lapse at the club’s AGM. New
applications for membership will be considered at the AGM or at the next General Meeting after
membership forms are received by the club.

NAME: ..............................................................................................................................
ADDRESS: .......................................................................................................................
TELEPHONE: (HOME) ............................(WORK)…………………(MOB)………………..
EMAIL: …………………………………………………..

Please be advised that Highfields FC Inc has Public Liability Insurance ($20 000 000) – the
policy may be viewed on Football Queensland’s Website: www.footballqueensland.com.au.

I agree to be bound by the constitution of Highfields FC Inc and by all valid

resolutions passed by the Club.

SIGNATURE OF APPLICANT: ..........................................DATE:.................................

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

HIGHFIELDS FC INC USE ONLY:

Date Received:................................. Date Accepted:........................

Secretary’s Signature: .......................................................