APPLICATION FOR NPVDA MEMBERSHIP
The National Pilot Vehicle Drivers Association Inc.
(Incorporated under the Associations Incorporation Act 2015
ARB - 147 995 873
!/We: ___________________________________________________________________________________________________________
Full Name/s of Applicant/s,(please print)
Address: ________________________________________________________________________________________________________
Suburb: ________________________________________________ State: __________________________ Postcode: __________
Phone: __________________________________________ Mobile: ______________________________________________
Fax: ____________________________________________ email: _____________________________________________________
Hereby apply to become a member of the above named incorporated Association and agree to be bound by the rules of the Association currently in force.
Single Membership Family Membership Group Membership
Please indicate above (family membership is open to two (2) family members or Groups more than three (3) members
who are qualified pilots
Please check our website for current Membership Fees
Signed: ___________________________________________________________ Date: ___________________________
Nominated By: ______________________________________________________
(please print name)
Signature: __________________________________________________________ Date: ___________________________
Please complete form and forward to; snail mail: The Secretary, NPVDA, PO Box 390, Endeavour Hills, Vic, 3802
email: secretary@npvda.org.au OR treasurer@npvda.org.au
fax: Secretary - 03 8456 5949