2006/07 Annual Report - Melbourne Cricket Club

APPLICATIONFOR MEMBERSHIPAPPLICANT INFORMATIONXXIX CLUBTitle: Telephone: (Home)First Names:Surname:(Work)(Mobile)Address:Email:Date of Birth:MCC Membership Card No.:Suburb:State:Postcode:Are you a current regular player? Yes No (tick box)If Yes, What Club & Grade? Club GradeIf No, What Past Club/s & Grades? Club GradeClubGradeIf you no longer play, would you be interested in:- Umpiring: Yes No (tick box)Team Managing: Yes No (tick box)Scoring: Yes No (tick box)APPLICATION FOR MEMBERSHIP• I hereby make application to join the MCC XXIX Club and enclose my payment of $100.00, which includes the entrancefee of $50.00 and the annual subscription of $50.00. (Please note that a new Club tie is provided upon acceptance ofyour application.)• I am a financial member of the Melbourne Cricket Club.• I agree, if elected, to be bound by the rules and regulations of the MCC XXIX Club.Signature:PROPOSER & SECONDER• I personally know the person who is hereby nominated as a proposed member of this Club and I am pleased to recommendthe application.• I am a financial member of the MCC XXIX Club of at least 12 months standing.Proposer’s DetailsSeconder’s DetailsFull Name:Signature:Date:Full Name:Signature:Date:PAYMENT DETAILS(tick box) Cash Cheque (payable to MCC XXIX Club) Money Order Credit Card (Bankcard, MasterCard or Visa only)Card No.:Cardholder’s Name:Expiry Date:Cardholder’s Signature:Forward to: MCC XXIX ClubC/- Melbourne Cricket Club, PO BOX 175, EAST MELBOURNE, 8002or FAX: 9650 568233