BANGLADESH ASSOCIATION OF NSW Inc.

65 Spurway St.

Ermington NSW 2115

www.bangladeshassociation.org.au

Membership Application

I, ...................................................................................of ..................................................................

....................................................................Suburb............................................................NSW-

Telephone:........................................................Mobile........................................................................Email address: ...............................................................................would like to join Bangladesh Association of NSW Inc. as a primary / financial member.

I am aware that as a member of the Association, I would be required to follow Association's Constitution and Code of Conduct in any matter related to the interest of the Association.

NOTE: Membership fees for primary member is $2.00 (two dollars) and for financial member is $10.00 (ten dollars). Membership can be paid either in cash or by cheque in favour of the Bangladesh Association of New South Wales.

Acknowledgement

Received:........................ from. Mr. / .MrMs............................................................

As a primary / Financial membership fees / annual subscription

for the year 200.../ 200...

Name...............................................Signature ..........................

Date ..........................

 Copy.form.20.03.06