Membership Renewal Form for 2010
Written by Azeem Haqqani   
Sunday, 18 October 2009 08:48

SMA 2010 Membership Renewal Form

Please submit by 15 January 2010

I would like to renew my membership of Southland Muslim Association Incorporated.

Membership Category (tick one)

Family

Single

My particulars are:

Name

Current Address

Home Telephone

Mobile Telephone

Email Address

Signature ____________________________________ Date _____________________

Please pay $20 membership fee for Individual membership or $40 for Family membership along with this form to one of the following SMA Office Bearers:

Azeem Haqqani (President & Acting Treasurer); Mohammed Wahid (Secretary); Zul Abdul Rahman (Vice President); Abu Mansaray (Vice President); Abdul Munaf (Assistant Secretary)

You must get an official SMA receipt within a week of the payment at the latest.

Alternatively you can deposit the membership fee in the following SMA Bank Account and attach the Bank Receipt or Internet Receipt with the form.

Southland Muslim Association Incorporated

Westpac Bank Account Number: 03 1745 - 0104001 - 00

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