Association Membership Application Form Membership Application Moreton Bay Birali Steiner School Association Inc. The Association The Moreton Bay Birali Steiner School Association Inc. (MBBSSA Inc) is an Incorporated Association responsible for the legal, financial and strategic affairs of Birali Steiner School. There are many ways members may become involved in the Association including voting at general meetings, assist in subcommittees and/or nominating for membership of the Board. Membership of the Association You are encouraged to exercise your right to become a member/or renew your membership of the Association by completing the form below. Payment of Membership fee is required at time of your application. Current Membership fee is $20.00. Please organise direct deposit and use your surname as the payee reference. BANK DETAILS: MBBSS BSB: 084-004 A/C NO: 302 714 893 PAYEE REF #: SURNAME/INITIAL Please return completed form via email to [email protected] & [email protected] and confirm payment, or hand into Administration of School office, 670 Beachmere Road, Beachmere Qld 4510. By signing the Membership form, you agree to “The Objects of the Association” (Clause 3, Objects of IA39239 Rules of Inc. Assoc. MBBSSA Inc.) and are supportive of the School - the Rules are available on our website. The Board approves new member applications at the following Board meeting. On acceptance of this application by the Board, membership is valid so long as your relationship status with Birali Steiner School remains current as outlined in the Association’s Constitution/Rules, which are available to all members on request via [email protected]. Thank you for your support for the Moreton Bay Birali Steiner Association, The Board. Application for Membership of Association By signing below, as an Association Member, I agree to abide by and observe ‘The Objects of the Association’ (Clause 3, Objects of IA39239 Rules of Inc. Assoc. MBBSSA Inc.) and apply to become a member of the Moreton Bay Birali Steiner School Association Inc t/a Birali Steiner School (Incorporated under the Associations Incorporation Act 1981 and Associations Incorporation Regulation 1999. I understand that I am considered to be a member of the association by: i) completing and returning this form; and ii) paying the membership fee; and iii) when my application has been accepted by the Board. Please select the class of Membership for which you are applying for: Ordinary Membership * Current Enrolment - Parents, grandparents or guardians of a child enrolled with the school (note names below) Employees - Current employees of the school and/or Association Others- Includes supporters of the Association Child/ren's Family Name/s: Newsletter I wish to be added to the email list for the school newsletter Full Name * Full Name First First Last Last Postal Address * Postal Address Postal Address Postal Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email * Phone Blue Card Number (If you have one) Expiry Date Signature * signature keyboard Clear Date * By signing this form, you agree to “The Objects of the Association” (Clause 3, Objects of IA39239 Rules of Inc. Assoc. MBBSSA Inc.). Members Email List I agree to our name and email address be added to the Association’s Members email list Note: to become a Member of the Association, you must be proposed and seconded by any two current Association Members. If you do not know of two members, the Administration staff will print the form and be able to assist with the below signatures. Proposed By: * (please print) (please enter TBC if you don't have an existing member to sign) Signature signature keyboard Clear Note: As the nominator you are confirming, to the best of your knowledge, that the nominee is eligible for membership in the categoryfor which they are nominating. Date Seconded By: * (please print) (please enter TBC if you don't have an existing member to sign) Signature signature keyboard Clear Note: As the seconder you are confirming, to the best of your knowledge, that the nominee is eligible for membership in the categoryfor which they are nominating. Date Office Use OnlyPayment Date: Payment Method: Approved Date: Submit