Membership Application

Membership for the 3rd and 4th Cavalry Regiments Association Inc, is $20.00 per year or part there of and is due on Anzac Day of each year.
To apply for membership, please complete and submit the online application form and remember to forward your Membership Fee electronically to our Treasurer,
or
Download the Application Form at the bottom of this page and forward it together with your membership fee to our Treasurer.

Your application will be deemed as accepted once we have received your $20.00.

3-4 Cavalry Regiments Assoc.
Treasurer - Mike Kennedy
P.O.Box 924,
Kingaroy
Qld 4610

Ph: 07 4162 8448

MEMBERSHIP APPLICATION - PLEASE COMPLETE THE FOLLOWING

Personal Details

First Name: *

Surname: *

Wife/Partner's Name:

Date of birth:

Address: *

City: *

State: *

Postcode: *

Phone:

Email: *

Mobile:

Skype:

Unit/Regiment Details

Only one qualifying unit required

Army Number:

Qualifying Squadron / Troop or Section served in:

Serving Dates (approx):

Service verified by current member:

The name or names of current members that you served with that will verify your service as stated.

Written confirmation of service E.g. Copy of Discharge Certificate:

yes

Did You Serve Overseas?:

Yes

Do you give permission for your name to be shown in our online listings?: *

Yes

Please indicate whether you give permission for your basic contact information to be made available to registered online members.

Attachment	Size
Membership Application Form 2011 - 2012	158.4 KB

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Membership Application

MEMBERSHIP APPLICATION - PLEASE COMPLETE THE FOLLOWING