Elvis Canberra Membership Application Form

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What does membership of Elvis Canberra offer? In short — anything Elvis fans want to do. We will be arranging a range of Elvis-related activities including concerts, karaoke and singalongs, film nights etc to suit the members.

ELVIS CANBERRA Inc. proudly sponsoring the Inaugural National Elvis Presley Convention 26-28Nov 04 "Elvis for Everyone" Membership Application Form
Annual Fee $5 (to be reviewed 17 Mar 05)		Receipt No.	Membership No.
Member #1		Preferred Title
Family Name		Pref First Name
First Name		Contact Number
Member #2		Preferred Title
Family Name		Pref First Name
First Name		Contact Number
Home Address		Home Phone
Suburb/Town		Postal Address if different to Home Address
State	Postcode
Email Address

Activities

It would be helpful to know something of your background and interests so that we can organise activities to suit you. So we ask you to fill in the form below as well as the membership application form.

Please ü tick any of the following activities that you would genuinely be interested in. Feel free to add more ideas if you have any — there may some folks out there with similar ideas.

q Dancing	q Musical Events	q Concerts	q The Life of Elvis studies
q Discussion Nights	q Dining Out	q Bike Riding	q Bush Walking
q Movie outings	q Games Nights	q Video Nights	q Weekend Trips
q Christmas Party, Christmas in July	q Camping and caravanning	q Canoeing, sailing and other water sports	q Personal Development
q Other Interests	q ……………………….	q ……………………………	q ………………………..

Optional Age Group q 20's q 30's q 40's q 50's q 60's

I am a participant. …………………(yes/no) I have organisational skills to share etc ……………………………(yes/no).

I wish to apply for membership of the Elvis Canberra.

Signature ………………………………………… Date ………….…………...

How did you find out about Elvis Canberra?

q Member q Newspaper q Friend q Other (Please state)

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