APPLICATION FOR MEMBERSHIP OF ASSOCIATION

Rainbow Families Incorporated

(All of the following fields are compulsory and applications will not be approved without full completion of the form)

Name *
Name
Home Address
Phone/Mobile
Phone/Mobile
Date
Date

I hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the constitution of the association for the time being in force.