Patron:

President: David Ellyard

Secretary: Bob Watson

Registered Number A0014408G


All Correspondence to:


THE SECRETARY
ANARE CLUB
GPO BOX 2534
MELBOURNE 3001



Membership application form

Membership of the ANARE club is open to all those who have served with Australian National Antarctic Research Expeditions and Australia’s Antarctic Program South of latitude 50O.

Associate Membership is open at the discretion of the Council to those who have made a contribution to the Program or other Polar expeditions.
Subscriptions to the Club Journal “Aurora” are available for non-members.


Name: __________________________________________________

Address: _______________________________________________________


Postcode ____________Country____________________________________

Email address (Optional) __________________________________________

Phone numbers _________________________________________________


Antarctic Experience:   Winter       Summer      Round Trip    (please tick)

Station(s):_______________________________________________________

Year(s): ________________________________________________________

Job Description:__________________________________________________


Annual Membership/Subscription fee is $40.00 ($50.00 overseas to cover extra postage costs for Aurora)
Subscriptions and membership fees to the Treasurer P.O. Box 2534 Melbourne 3001.

Payment: Bank deposit or Direct Debit to National Australia Bank BSB 083 155 A/c “ANARE Club Inc” # 515561907
Please ensure the transaction record is marked “subs” and includes your name.

OR: Cheque or Money order made payable to “ANARE Club Inc”


OR:    
Mastercard


Visa



Card #









 











expiry




/





Name on card: _________________________________________________

A successful Membership application must be ratified by Council and a membership number will then be issued.

Signature : ________________ Date: _____________

20082