New Member Application Form: 2010
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 the annual fee ($30.00 in Australia, $36.00AU NZ-Asia/Pacific; $42.00AU Rest-of-World),  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 am over the age of 18 years old. I have read and support the Aims and Objectives of the AKC. 
[PLEASE NOTE: A scan or fax of your drivers licence or other approved form of identification must accompany your application.]

Name: ___________________________________________________  Date of birth:  ________ 
Address:_____________________________________________________________________________ 
Suburb/Town:                                                                    State:                          Postcode:  __________ 
Phone (Landline): (0__ ) _____________________________  Mobile: _____________________________
Fax: (0__ )   _____________________________

 
Area/s of Interest (reason for application)
____________________________________________________________________________ 
_________________________________________________________________________________ 
_________________________________________________________________________________ 

Payment (please indicate method):     Cheque /  Money Order /  Credit Card: Visa / Master    Direct/On-line banking 
For direct deposit (on-line banking), please contact the AKC for bank details.
 

Credit Card details:  Name: ___________________________________________________

Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ /  __ __ __ __       Expiry Date: __ __ / __ __    ID/Security number __ __ __   (last 3 numerals on back of card)

  This form may be saved as a Word document, then emailed, or faxed or posted to the AKC ...
you may prefer to phone credit card infromation through to us for security, or ask for our  details for on-line or direct banking
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