Australian Historic Telephone Society Inc. (Association No. A7971) PO Box 2032, Hawthorn Victoria 3122, Australia

To protect preserve and promote Australia's telecommunications heritage

Application For Membership

The membership secretary,

I wish to apply for membership of the Australian Historic Telephone Society and agree to abide by its rules, objectives and constitution.

The Society's objectives are :

1. To encourage, promote and develop interest in collecting historic telephones and associated equipment;
2. To cater for the needs of collectors of historic telephony and associated equipment and to conduct meetings and exhibitions therefore;
3. To publish magazines, monographs and other publications dealing with historic telephony, associated equipment and the collection of them;
4. To undertake such action as deemed necessary to lawfully achieve the above objectives.

Surname____________________________Given Names_____________________________
Address ____________________________________________________________________
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Telephone______________________________Fax__________________________________
Email______________________________________________________________________

My particular interests in telephony and collecting are :
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FEES IN AUD: $10.00 Joining Fee & Annual Membership fee of:

Enclosed is my cheque/money order for, Joining Fee of $10 and Membership Fee of $________

TOTAL $________     (in Australian dollars)

FEES ARE RENEWABLE ON 1ST JULY EACH YEAR