NAME:

(Surname)..............................................(First Names)......................................................

HOME ADDRESS:

..................................................................................................................................................................................................................................................................

TELEPHONE NUMBERS:

(Home).......................................................................(Business)...................................................................................

OCCUPATION (optional): ............................................................................

AGE (optional):..............................................

I hereby apply for Society membership and agree to be bound by the rules and Constitution of the Society (a copy of which is available on request). I enclose my remittance of:

AUD$ ............................. (single) to cover my membership to 31 December 20.....

I enclose / do not enclose an additional AUD$ 10, entitling me to four tickets in each of the next four quarterly raffles.

SIGNATURE:......................................................................

DATE:..............................................................

Please indicate your special areas of interest in WW1 aviation by completing this questionnaire. This information will assist us to meet the needs of individual members.

[ ] Aircraft & Equipment	[ ] Uniforms
[ ] Personnel (Air & Ground)	[ ] Medal & Badge Collecting
[ ] History & Overall Strategy	[ ] Memorabilia Collecting (incl. photos)
[ ] Lighter than Air	[ ] Modelling (Scale)
[ ] Book Collecting	[ ] Modelling (Flying)
[ ] Camouflage & Markings	[ ] Aviation Art

How did you first learn of the Society?.................................................

Are you a member of any other aviation/historical society; if so, which ones?.........................................