AUSTRALIAN CALABRESE CULTURAL ASSOCIATION LTD.

(ACN. 618 877 437)

91 LYGON STREET, BRUNSWICK VIC, 3057

TEL: +61 03 9388 1100, FAX: +61 03 9387 0174
EMAIL: austcalabreseculturalassoc@gmail.com

Membership - Application Form: 1st July 2023

Member’s Details
Full Name (incl Title) ____________________________________________________________________________________

Address ____________________________________________________________________________________

Telephone Number ______________________________ Mobile Number ________________________________________

Email _______________________________________ Occupation/Industry _________________________

Declaration: I agree to be bound by the Constitution* of the Australian Calabrese Cultural Association Ltd.

Signature ______________________________________ Date / /

Membership Fee/s and if you are also able to make a one-off Voluntary Donation:
Tick
Ordinary Membership (Annual, with full voting rights) $ 50.00 (1 year)
Ordinary Membership (Long Term, full voting rights) or $ 200.00 (6 years to 2029)
Associate Membership or Nil cost/ Free
plus, if possible, a one-off Donation
Please pay total amount by:

1. Direct Deposit to Westpac Bank Account:

Account Name: Australian Calabrese Cultural Association
BSB: 033 178
Account No. 450042 – (and quoting your Surname in the Reference)

2. Cheque to: Australian Calabrese Cultural Association

Advise reasons for joining; areas of interest; and if applicable & known, your or your family’s region/
township of origin within Calabria:
___________________________________________________________________________________________

_________________________________________________Region/Township:___________________________

Many thanks – ACCA Board * A copy of our Constitution is available on our web-site