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		Gosford & District Orchid Society Inc.
	affiliated with The Orchid Society of New South Wales Inc.
 
		     Application for Membership
  
I/We .......................................   ................................
             Christian Names                            Surname

Address : .....................................................................

          .....................................................................

          ..............................................Post Code  ............

Telephone  .............................
  
Please make cheque out to : Gosford & District Orchid Society Inc
Post cheque & application form to :
Gosford & District Orchid Society
Honorary Secretary
Post Office Box 541
Gosford NSW 2250
  
Request Membership of , and agree to be bound by the Constitution and Rules of the Gosford & District Orchid Society Inc.
  
Signature : ...................................
  
Proposed by : .................................

Seconded by : .................................
 
	 OFFICE :
 
	 Annual Subscription  $ ..............
 
	 Accepted / Rejected : ................
 
	 Date : ...............................
  
Society meets at the Kincumber Uniting Church, Corner Avoca Drive  & Killuna Street KINCUMBER.
Fourth Wednesday each month at 7: 30 pm.