Name in Full: __________________________________________________________________________________
Address: __________________________________________________________________________________
Town/Suburb                                    State                 Postcode                Date of Birth             
__________________________________________________________________________________
Phone:                                        Mobile:                                          email:
__________________________________________________________________________________
Next of Kin:                                                                            Relationship:
__________________________________________________________________________________
Address:
__________________________________________________________________________________

__________________________________________________________________________________
** If applying as a relative of a member or eligible member (including deceased) provide their details. 
Name:                                                                                    Relationship:
__________________________________________________________________________________
Defence Force Service:                       Rank:                               Service Number:
__________________________________________________________________________________ 

Date Enlisted _______/_______/______ Discharged _______/______/_______

Mustering / Category:                                     Units / Locations served:
__________________________________________________________________________________

__________________________________________________________________________________
Decorations:
__________________________________________________________________________________
Additional Information:
__________________________________________________________________________________

I wish to join the __________________________ Branch and declare the information given on this form to be true and correct. I agree to abide by the Constitution and By-Laws of the Association.

Signature: ____________________________  Date: _______/_______/20____

Membership fees: $30.00 membership or $42.00 membership including WINGS

I enclose * Cheque / Postal Order for $__________ payment for membership, or
** Payment by direct deposit (EFT)  * Please include a deposit reference.
To Westpac BSB: 032-014, Account: 18-8514, Name: RAAFA Bank2 Working Account
Amount:               paid by EFT on Date:             Deposit reference / your Bank is: 
_________________________________________________________________________________     
or ** VISA / MASTERCARD circle your type of card      

NAME ON CARD:.......................................................................................

CARD NUMBER: ___ ___ ___ ___     ___ ___ ___ ___    ___ ___ ___  ___   ___ ___ ___ ___

EXPIRY DATE:  ____  ____  /  ____  ____

Amount: $_________.00    Signature of card holder: _____________________________
_______________________________________________________________________________________________



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For assistance or further information email executiveofficer@raafansw.com or
telephone the Association office number (02) 9393 3485