TAP-WA

Join As Member

Applicant

Applicant DOB

Spouse

Spouse DOB

Children, If Member's Privileges Desired(Under 18 Years)

Reference Of Existing Tap Members, If Any

Members Details

Life Membership for Full-Time Students Above 18 Years ($50)

Life Membership For Other Singles & Families ($100)

Direct Debit Details

✓   Telugu Association of Perth (TAP) (Formerly known as My3WAnam)
✓    Commonwealth Bank BSB No: 06 6124 Account No: 1033 3913
✓  Please write name of the applicant in “To account description (reference)” column.

Other Information

✓  50% of membership fee will be refunded if resigned for the membership any time – no need to detail any reason for the resignation.
✓  Both memberships have equal rights.
✓   Payment can be made by cash to Executive General Secretary or Executive Treasurer..

DECLARATION

I declare that I have read, understood, accept and abide by the constitution of Telugu Association of Perth (TAP) as amended time to time. I also promise to work for the development of Telugu Association of Perth.I declare that the information provided in this form is true to my knowledge and I authorize TAP to verify the information provided in this form any time. I understand the membership is effective from the date of this application form is approved by the Executive Committee of TAP. I understand and agree that my contact details will be used by TAP in website, for communication purposes and newsletters.

Signature of Applicant 1

DATE:

Signature of Applicant 2

DATE:

No wet signatures needed, if this form is filled electronically and sent from the applicant’s email address. Otherwise, print, fill the details, sign and send the filled-up form to any of Executive Committee members of TAP or by email to secretary.tap@gmail.com (Mobile: +61 413 176 813)