New Member Application Form: 2009

Australasian Knife Collectors Club (AKC)

National Knife Collectors Australia

 
Please register me as a member of the Australasian Knife Collectors (A.K.C.) - established 1990. 

I enclose $30.00 in Australia ($36.00AU NZ-Asia/Pacific; $42.00AU Rest-of-World), being the annual fee, which entitles me to a membership card and certificate as proof of membership in the first and only national  knife collectors and knifemakers mail-order club of Australia. 

I have read and support the Aims and Objectives of the AKC.

[A parent or guardian must contact the AKC if applicant is under 18 years of age.]

Name: ___________________________________________________  Date of birth:  ________ 
Address:_____________________________________________________________________________ 
Suburb/Town:                                                                    State:                              Postcode:  __________ 
Phone (Landline): (0__ ) Mobile: _____________________________
Fax: (0__ )   ___________________________
    Please Tick Area/s of Interest:
 
Collector - Established 
Knifemaker - established 
Knife Historian 
Collector - Casual
Knifemaker - novice
Knife Restorer 
Collector - User 
Knife Customiser 
 Knife - Embellisher 
 
Additional Information (Area/s of special interest) 

_________________________________________________________________________________ 
_________________________________________________________________________________ 
_________________________________________________________________________________ 

Payment (please indicate method):     Cheque /  Money Order /  Credit Card: Visa / Master

For direct deposit (on-line banking), please contact the AKC for bank details.

Credit Card details:  Name: ___________________________________________________

Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ /  __ __ __ __       Expiry Date: __ __ / __ __

  This form may be emailed, faxed or posted to the AKC or you may phone the information.
Money orders or cheques should be made out to “AKC”.
AKC PO Box 149ChidlowWA 6556      Tel:  08 9572 7255    Fax: 08 9572 7266

International: AKC, PO Box 149, ChidlowWA 6556, AustraliaTel:  + 61 8 9572 7255    Fax: + 61 8 9572 7266