Fair HavenRetirement Village MEMBERSHIP APPLICATION FORM MEMBERSHIP APPLICATION FORM To apply for a membership with Fair Haven Retirement Village, please complete and submit the form below. We will be in contact with you within the next 7 working days. Email First Name (Applicant 1) * Last Name (Applicant 1) * First Name (Applicant 2) Last Name (Applicant 2) Address * Suburb * State * Post Code * Email Address * Contact Number * Current Member of the Free Reformed Church of * Armadale Albany Baldivis Bunbury Busselton Byford Cairns Darling Downs Kelmscott Launceston Legana Melville Mount Nasura Mundijong Rockingham Southern River West Albany Other I understand that membership is free, but in order to meet the budget requirements as presented at the recent Annual General Meeting, the requested minimum recurrent donations are presently set at $23.00 per week or $11.50 per week for pensioners and students. These amounts are reviewed annually. I commit to donating * A minimum of $23 per week As a pensioner or student a minimum of $11.50 per week Additional Information Payment Method * Cash Direct Transfer Payment Frequency * Weekly Fortnightly Monthly Quarterly Once Off Commencement Date * DECLARATION * I/We agree to abide by the Free Reformed Retirement Village’s Constitution DECLARATION I/We declare that I am a /we are current member(s) of the Free Reformed Churches of Australia Date * View the latest Constitution HERE Membership Application Form (Printable Version)
