Application For Membership
Date: Surname:
First Names: Partners Name:
Date of Birth: Business name:
Address: Post Code:
Postal Address: (if differ from above) Post Code:
Phone: Mobile:
Fax: Email:
I hereby applyfor membership of the Commercial Traveller's Association of South Australia Incorporated, subject to the Rules and By-Laws of The Association and The South Australian Club. I declare that i am,
a Commercial Representative or Agent and have been so engaged for a period of at least six consecutive calendar months prior to this application and
a resident of South Australia
Occupation: Employer Name
Address: Postal Address
Annual Subscription $ 40, Country Member $ 30 plus Joining fee $20