SCRUB CLUB APPLICATION

For just $10 you will recieve an individually numbered yellow Scrub Club Scarf, a spare Scrub Club badge for your blanket and a DS woggle.

Life members pay $100 and in addition receive a special 'Life Member' certificate. Certificates can be posted to you or presented at the next available opportunity at Douglas Scrub.

Please download this application form then post with your donation to:
'Scrub Club',
Douglas Scrub Management Committee,
Guides South Australia Inc.
278 South Terrace,
ADELAIDE.
SOUTH AUSTRALIA 5000




NAME...............................................................................................................................................

ADDRESS........................................................................................................................................

.......................................................................................

POST CODE.......................TELEPHONE..............................................


I would like to support Douglas Scrub by joining the 'Scrub Club' and enclose A$10.

I would like to become a Life Member of the Douglas Scrub 'Scrub Club' and enclose A$100. I would like the certificate to be posted/presented. (Life member certificate to be made out in the name of

.......................................................................................................).


On receipt of your donation, a receipt, your scarf, badge and woggle will be forwarded to you.


........................................................(signed)





Thank you in advance for your generous support.

Douglas Scrub Management Committee

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