Australian Membership Application Form
Church of All Worlds

Please print out this page,  or click here to download the membership form and the Affirmation.

fill out legibly and post to:
Secretary: Kerrieann Winkley c/o Woolooga General Store, Woolooga. Qld. 4570
Personal details are confidential among CAW administration staff.

 

Name:________________________________________________________Date of Birth: ____________

 

Address: (Postal) _______________________________________________Code _________

 

Address: (Residential)  __________________________________________Code _________

 

Home Phone: _____________________Fax: ____________________Mobile: ________________________

 

Email Address:___________________________________________________________________________

 

Male/Female: ________________Occupation/s: _______________________________________________

 

Craft Name:_____________________________________________________________________________

 

Special interests: ________________________________________________________________________

 

Traditional  influences: ___________________________________________________________________

 

Skills, talents, quirks etc. _________________________________________________________________

 

Why are you joining CAW?. ________________________________________________________________

 

________________________________________________________________________________________

 

To what other organisations do you belong? ___________________________________________________

 

Any special requests, comments: ____________________________________________________________

 

 

Please tick the appropriate boxes.   All prices include GST.

 

r  Single Membership @ $25.00  

(Includes 4 newsletters per year, a 10% or more discount at all CAW gatherings, and a copy of the CAW Membership Handbook.)

 

r  Family/Group Membership @ $25.00 for the first person and $11.00 per person thereafter (no limit). (Each person must fill out a form and have the same mailing address.

Includes all of the above, Families/Groups share the publications.)

 

Family/Group Name: ______________________________________________________

 

r   I/we enclose $ ____________________ as a contribution to help carry out the work of the Church.

 

 

I enclose $ _________ for my membership fee and $ ___________ donation.

r  Cheque / Money Order (payable to “Church of All worlds”) or

 

Cardholder Name:________________________________________________

 

Expiry Date:____________/ ___________

 

Cardholder Signature: ________________________________________________________

 

Please read and sign Membership Affirmation and send to:

                                          Church of All Worlds, Inc. (Aust.)

      Secretary: Kerrieann Winkley, c/o Woolooga General Store, Woolooga. Qld. 4570