Vetrunner September 2009.pub - ACT Veterans Athletics Club

Page 38 — September 2009 VetrunnerACT Veterans Athletic Club - Renewal and New Membership 2009Option 1 – credit card on-lineThis is the Club’s Preferred Option – please use if possible (you need a credit card). It is quick, easy to use and secure.Go to www.actvac.com.auClick on ‘membership’Follow the promptsOption 2 – cheque or postal orderComplete the ‘member details’ below, attach your payment and post to: ACTVAC, GPO Box 2356, Canberra City ACT 2600.Option 3 - cashPay by cash at an ACTVAC event. Complete the ‘member details’ below, hand it and your payment to the volunteers at any ACTVACevent.Option 4 - credit card directThis is the club’s least preferred option – please consider paying with your credit card on-line (Option 1). To use Option 4, completethe form below, fill in your credit card details and the amount paid, sign and post to: ACTVAC, GPO Box 2356, Canberra City ACT2600.VisaMasterCardCard no:ExpName on card:Signature:__________ __________ __________ ___________ / ____________________________________________________Payment detailsSingle new membership from July 2009 $17.00 Double new membership from July 2009 $29.00Single Renewal 2009 $34.00 Double Renewal 2009 $57.00PrivacyThe Club regards the privacy of members as very important, and only uses members' personal details for managing the Club'sbusiness. See www.actvac.com.au, click on Constitution/Reports, then click on ACTVAC Policies, then Privacy Policy.Membership Rights and ResponsibilitiesIn submitting this form for payment of membership, I acknowledge my member’s rights and responsibilities as set out in the Club'sConstitution, and, as a member, I agree to act in accordance with Club policies. See www.actvac.com.au, click on Constitution/Reports,and on ACTVAC PoliciesMember detailsPlease complete if using Options 2, 3 or 4Member 1First name______________________Street______________________Family name__________________________Suburb__________________________Membershipno._______________State&Postcode_______________GenderMaleFemaleE-mail_______________________________________Phone dayPhone nightMobile:Date of birth_________________________________________________________________________________ / _____ / ___________Member 2 (complete only for double membership)First nameFamily name______________________Street________________________________________________Suburb__________________________Membershipno._______________State&Postcode_______________GenderMaleFemaleE-mail_______________________________________Phone dayPhone nightMobile:Date of birth____________________________________________________________________________Questions (circle your preference)Your Preference in receiving Vetrunner? E-mail At Handicap Events / postYour preference in receiving Club Notices? E-mail Post / Vetrunner_____ / _____ / ___________