Membership Application Form

Please print this document , and complete the details and post to The Secretary, 10 Darlington Street, Sturt, SA 5047

Alternatively, select the template below and copy and paste it into an email, add all details, and send to KIPAsecretary@gmail.com

Payment can be made via EFT to

Westpac BSB 035-044, Account No. 157 659 (Please include your name as reference in the transfer)

TEMPLATE FOR EMAIL (Please also use for any changes in details if you an existing member).

Name/s:

Address:

Postcode:

Email:

Phone:

Mobile:

Family/Ship (if applicable):

K.I. Ancestors (if applicable):

Membership is $5 per household

Amount paid:

Donation :

Paid by EFT / Cheque