Membership

APPLICATION FOR MEMBERSHIP

You can fill in below form and click on send message or download and complete form, return to The Secretary, Koroit Men’s Shed Inc, at the above P O Box. We will contact you regarding payment of yourmembership subscription after your application is approved that is in this link APPLICATION FOR MEMBERSHIP

First Name *Please fill the required field.

Last Name *Please fill the required field.

Address *Please fill the required field.

Home Phone *Please fill the required field.

Mobile Phone *Please fill the required field.

Email *Please fill the required field.

Do you have any health conditions, disabilities or use any medication that we should be aware of or that could affect your activities in the shed?

Do you live alone? Yes / No

Please indicate if you are an ex service person : Yes / No

Emergency contact person : Name & Number : *Please fill the required field.

Previous Occupations : *Please fill the required field.

Skills, Interests, Hobbies : *Please fill the required field.

3 + 4 = ?