Enrolment as a member of  EC-Menz incorporated

Please complete the boxes below and click on "submit form"
Within the next few days, you will receive an acknowlegement of your membership

Enrollment fees:
Foundation Members (enrolled before 14 Feb 2009) - Free

After 14th Feb 2009:
In full-time employment - $20.00 p.a.
In Part-time employment, unwaged or in training - $5.00 p.a.

before agreeing to abide by the Rules of the Society, please read them HERE
   



                                                                                                                                                                    

Forename

Surname

Address

Centre or Workplace

Job Description

Home email

Work email

Home Phone

Work Phone

Cell Phone

I will abide by EC-MENz rules

e-transferChequeFree (foundation Membership