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<P ALIGN=CENTER STYLE="margin-bottom: 0cm"><B>APPLICATION FOR
MEMBERSHIP OF</B></P>
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<P ALIGN=CENTER STYLE="margin-bottom: 0cm"><B>Melbourne Perl Mongers</B></P>
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<P STYLE="margin-bottom: 0cm">I,………………………………………
, of …………..……………desire to become a
</P>
<P STYLE="margin-bottom: 0cm"> (<I>name and occupation</I>)
(<I>address</I>)
</P>
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</P>
<P STYLE="margin-bottom: 0cm">member of ………………………………………………………………………</P>
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(<I>name of Association</I>)
</P>
<P STYLE="margin-bottom: 0cm">In the event of my admission as a
member, I agree to be bound by the rules of the Association for the
time being in force.
</P>
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<P STYLE="margin-bottom: 0cm">…………………………</P>
<P STYLE="margin-bottom: 0cm">Signature of Applicant
</P>
<P STYLE="margin-bottom: 0cm">Date
</P>
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</P>
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</P>
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<P STYLE="margin-bottom: 0cm">I,……………………………………………………..
, a member of the Association,
</P>
<P STYLE="margin-bottom: 0cm"> (<I>name</I>)
</P>
<P STYLE="margin-bottom: 0cm">nominate the applicant, who is
personally known to me, for membership of the Association.
</P>
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</P>
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</P>
<P STYLE="margin-bottom: 0cm">………………………..</P>
<P STYLE="margin-bottom: 0cm">Signature of Proposer
</P>
<P STYLE="margin-bottom: 0cm">Date
</P>
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</P>
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</P>
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</P>
<P STYLE="margin-bottom: 0cm">I,………………………………………………
, a member of the Association, second
</P>
<P STYLE="margin-bottom: 0cm"> (<I>name</I>)
</P>
<P STYLE="margin-bottom: 0cm">the nomination of the applicant, who is
personally known to me, for membership of the Association.
</P>
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</P>
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</P>
<P STYLE="margin-bottom: 0cm">…………………………..</P>
<P STYLE="margin-bottom: 0cm">Signature of Seconder
</P>
<P STYLE="margin-bottom: 0cm">Date
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