LOCATING SURVEILLANCE AND TARGET ACQUISITION ASSOCIATION Incorporated

 

                                                 APPLICATION FOR MEMBERSHIP                      V 05.16

 

I hereby apply to become a member of the Locating Surveillance & Target Acquisition Association Inc. and I agree to be bound by

the rules of the Association in force from time to time.

 

APPLICANT’S DETAILS:

 

Surname: .............................…………………... Given Name/s: .....................................................

Post Nominals: ……………………………………..

Address: .......................................................…………….………………………………………….

State: ....................... Post Code: ……….............

Home Ph: (     )................................................. Mobile: ……………………………………………

Business Ph: (     )............................................ Facsimile: (     )…..……...…………………………

Email address: ……………………..……………………………...……….………………….…….

              *Please tick if you do NOT want LOCREP newsletter sent to you via email:   (   )

The Association would also appreciate a brief outline of your service career (if applicable):

Year enlisted: ........................... Year discharged: ........................... Rank attained: ..........................

 

Units served/serving with: .........................................................................................................…….………..

 

I wish to join:                       LSTAA       :           (no branch affiliation):       (   )

NNB            :           Northern NSW Branch:                      (   )

 NHV            :           Newcastle/Hunter Valley Branch:   (   )   (please tick one)

 131               :           131 Div Loc Bty Branch: *    (   )

SEQ               :          South East Qld Branch:                       (   )

 

*Please note that indicating an association with the 131 Div Loc Bty Branch is in no way related to joining the 131 Locators Association Inc,

                                                                            a totally separate organisation (www.131locators.org.au).

 

Serving members of the Australian Defence Force are not required to pay a joining fee or membership fees

to the Association.

 

PLEASE INDICATE HERE IF YOU ARE A SERVING MEMBER:  ¨

 

MEMBERSHIP FEES:            

 

Association joining fee (including Association badge):                                                                               $10.00

Plus

Association membership fee of $10.00 per year (payable up to 5 years)        ..…….year(s):                      $……..

 

                                                                                                                                    Total:              $……..

 

Applicants Signature: …………………….…………………......................…   Date: …………….………….….

 

 

Please make cheques/money orders payable to "LSTA Assn Inc" and forward with your completed membership

form to:                 The Secretary

LSTAA Inc.

63 Highland Drive,

Bowral    NSW    2576

 

Nominated by: ……………………………………. Signature: ………...…………….…..… Date: ……..….…….

 

Seconded by: ………………………………..……. Signature: …………………….....……. Date: ………………