Application for membership

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Name *

Phone *

Date of birth *

YYYY

Street *

Town *

Postcode *

Email address *

Emergency contact name *

Emergency contact phone *

I am applying to become a member of the Bright United Mens Shed Inc. *

If accepted I agree to abide by the purpose, constitution, and rules of that association.

Required

Do you require any special help/support when using the Shed facilities? *

Yes

If you require special help/support when using the Shed facilities please provide details here

Note

Fees are payable on application. You will be notified of your membership status as
well as the key code for access to the shed once your fees have been paid and membership
approved

Privacy statement

The Bright United Mens Shed collects information on this form to facilitate your membership and safety in the Shed.

Payment details

BSB 633000

Ac 131 069 429

I have paid my $35 membership fee into the BUMS Bendigo bank account

I have posted my $35 membership fee by cheque at the Mens Shed

I have paid my $35 membership fee by cash at the Mens Shed

Contact details

Bright United Mens Shed,
14 Churchill Avenue,
Bright, Victoria, 3741

Telephone: (03) 5750 1120

Website: www.bumsinc.com.au

Email:
Committee: committee@bumsinc.com.au
President: president@bumsinc.com.au
Secretary: secretary@bumsinc.com.au
Treasurer: treasurer@bumsinc.com.au

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Alp PC and Computing.

Does this form look suspicious? Report

Forms