Membership

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=100 BGCOLOR="#336699" TEXT="#080000" bgproperties="fixed" background="3a7800640erlcin.gif"> <div> </div> </td> </tr><tr> <td valign="top" width=170 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="3a7970643.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE="Capalaba Greyhound Racing Club Inc.">Home</A></div> <div> <A HREF="formguide.htm" TARGET="_top" TITLE="Form Guide">Form Guide</A></div> <div> <A HREF="points.htm" TARGET="_top" TITLE="Progressive Points">Progressive Points</A></div> <div> <A HREF="results1.htm" TARGET="_top" TITLE="Race Results">Race Results</A></div> <div> <A HREF="futureprograms.htm" TARGET="_top" TITLE="Future Race Programs">Future Race Programs</A></div> <div> <A HREF="history.htm" TARGET="_top" TITLE="Capalaba Club History">Capalaba Club History</A></div> <div> <A HREF="trackdetails.htm" TARGET="_top" 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TARGET="_top" TITLE="Our Crew">Our Crew</A></div> <div> <A HREF="coursing.htm" TARGET="_top" TITLE="Coursing">Coursing</A></div> <div> <A HREF="capwebsite.htm" TARGET="_top" TITLE="Capalaba Website News">Capalaba Website News</A></div> <bR> <bR> <bR> <bR> </td> <td valign="top" height=380 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B><U>Membership Application</U></B></div> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="555" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=3 HEIGHT= 317 WIDTH="545"><div> <IMG SRC="381137f0.jpg" border=0 width="531" height="127" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>Capalaba Greyhound Racing Club Inc.</B></div> <div> <B>Membership Application</B></div> <bR> <div> I hereby apply for Membership to Capalaba Greyhound Racing Club Inc.</div> <bR> <div> I declare that I am over the age of eighteen years and I am not a Committee member of another Greyhound, Galloping, Harness Racing Club or a Bookmaker or Bookmakers Clerk, nor am I a paid employee or servant of the club.  </div> <bR> <div> If elected, I agree to abide by the Rules of the Club.</div> <bR> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="179"><div> NAME:</div> <bR> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><div> ____________________________________________________</div> <div> (In Block Letters)</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 80 WIDTH="179"><div> ADDRESS:</div> <bR> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><div> ____________________________________________________</div> <bR> <div> ____________________________________________________</div> <bR> <div> _____________________________POST CODE_______</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=2 HEIGHT= 44 WIDTH="179"><bR> <div> TELEPHONE:</div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="363"><bR> <div> HOME:            <FONT SIZE="1" COLOR="#000000" FACE="Verdana" >______________________________________________</FONT></div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 WIDTH="363"><bR> <div> BUSINESS:    <FONT SIZE="1" COLOR="#000000" FACE="Verdana" >______________________________________________</FONT></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="179"><bR> <div> OCCUPATION:</div> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><bR> <div> ____________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 49 WIDTH="179"><bR> <div> SIGNATURE OF CANDIDATE:</div> </tD> <tD VALIGN=TOP><NOBR><bR> <div> ______________________________</div> </NOBR></tD> <tD VALIGN=TOP><NOBR><bR> <div> DATE:_______________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><bR> <div> NAME OF PROPOSER:</div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2><NOBR><bR> <div> ____________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="179"><bR> <div> SIGNATURE:</div> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><bR> <div> ____________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><bR> <div> NAME OF SECONDER:</div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2><NOBR><bR> <div> ____________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="179"><bR> <div> SIGNATURE:</div> </tD> <tD VALIGN=TOP COLSPAN=2><NOBR><bR> <div> ____________________________________________________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=3 HEIGHT= 16 WIDTH="545"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="545" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 16 WIDTH="396"><div> Option 1     ANNUAL SUBSCRIPTION:</div> </tD> <tD VALIGN=TOP><NOBR><div> $88.00 (Incl GST)</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 16 ><NOBR><div> Option 2     ANNUAL SUBSCRIPTION WITH YEARLY SLIP PASS</div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> $275.00 (Incl GST)</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 32 ><NOBR><div> Option 3     MONTHLY SLIP PASSES ARE ALSO AVAILABLE       </div> <div>              TO NON  MEMBERS FOR A MONTHLY FEE OF:</div> </NOBR></tD> <tD VALIGN=TOP><NOBR><bR> <div> $20.00 (Incl GST)</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=3 HEIGHT= 86 ><NOBR><div> <B>Membership entitles each Member</B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B> </B></FONT><FONT SIZE="2" COLOR="#000033" FACE="Verdana" ><B><U>FREE ENTRY FOR 2 PERSONS</U></B></FONT></div> <div> <FONT SIZE="2" COLOR="#000000" FACE="Verdana" ><B>Plus a</B></FONT><B> </B><FONT SIZE="2" COLOR="#000033" FACE="Verdana" ><B><U>RACE BOOK</U></B></FONT><B> </B><FONT SIZE="2" COLOR="#000000" FACE="Verdana" ><B>and</B></FONT><B> </B><FONT SIZE="2" COLOR="#000033" FACE="Verdana" ><B><U>DISCOUNT ON TRIALS</U></B></FONT></div> <bR> <div> <B>Please contact Bernie Culey on 3390 2772 or 0418 725 433 </B></div> <div> <B>to arrange payment and names of Members to propose your application</B></div> </NOBR></tD> </tR> </TABLE></div> <div>  <script language="Javascript1.2">  </script>  </div> <bR> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Capalaba Greyhound Racing Club Inc.">Home</A>  |<A HREF="formguide.htm" TARGET="_top" TITLE="Form Guide">Form Guide</A>   |   <A HREF="points.htm" TARGET="_top" TITLE="Progressive Points">Progressive Points</A>   |   <A HREF="results1.htm" TARGET="_top" TITLE="Race Results">Race Results</A>   |   <A HREF="futureprograms.htm" TARGET="_top" TITLE="Future Race Programs">Future Race Programs</A>   |   <A HREF="history.htm" TARGET="_top" TITLE="Capalaba Club History">Capalaba Club History</A>   |   <A HREF="trackdetails.htm" TARGET="_top" TITLE="Track Details">Track Details</A>   |   <A HREF="recordholder.htm" TARGET="_top" TITLE="Track Record Holder">Track Record Holder</A>   |   <A HREF="records.htm" TARGET="_top" TITLE="Capalaba Records">Capalaba Records</A>   |   <A HREF="specialevents.htm" TARGET="_top" TITLE="Special Coming Events">Special Coming Events</A>   |   <A HREF="news.htm" TARGET="_top" TITLE="Club News">Club News</A>   |   <A HREF="photos.htm" TARGET="_top" TITLE="Track Photos">Track Photos</A>   |   <A HREF="sponsors.htm" TARGET="_top" TITLE="Our Sponsors">Our Sponsors</A>   |   <B>Membership</B>   |   <A HREF="links.htm" TARGET="_top" TITLE="Links">Links</A>   |   <A HREF="merchandise.htm" TARGET="_top" TITLE="Merchandise">Merchandise</A>   |   <A HREF="noticeboard.htm" TARGET="_top" TITLE="Notice Board">Notice Board</A>   |   <A HREF="contact.htm" TARGET="_top" TITLE="Contact Us">Contact Us</A>   |   <A HREF="ourcrew.htm" TARGET="_top" TITLE="Our Crew">Our Crew</A>   |   <A HREF="coursing.htm" TARGET="_top" TITLE="Coursing">Coursing</A>   |   <A HREF="capwebsite.htm" TARGET="_top" TITLE="Capalaba Website News">Capalaba Website News</A></div> </td> </tr></table></body>