Renewal Membership Form : 2010


Australasian Knife Collectors Club (AKC) 

National Knife Collectors Australia

Please continue to register me as a member of the Australasian Knife Collectors (A.K.C) I enclose $30.00 in Australia($36.00 NZ-Asia/Pacific; $42.00 Rest-of-World), being the annual fee. I will receive my updated membership card as proof of membership in the first and only national  knife collectors and knifemakers mail-order club of Australia. I have  NOT been made a prohibited person. I have read and continue to support the Aims and Objectives of the AKC. 
Name: ___________________________________________________ Member #  ________
Address:_____________________________________________________________________________ 
Suburb/Town:                                                                    State:                              Postcode:  __________ 
Phone: (0__ ) _____________________________    Mobile: _____________________________
Fax: (0__ )   ___________________________                        Date of birth: ________________________

 
Additional Information (Area/s of special interest) 
_________________________________________________________________________________ 
_________________________________________________________________________________ 
_________________________________________________________________________________ 

Payment (please indicate method):     Cheque /  Money Order /  Credit Card: Visa / Master  On-line/ direct 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 doc to allow computer entry, then emailed, faxed or posted to the AKC.  If payment by credit card you may prefer to phone infromation through to us for security. For online banking, submit form and ask for bank details.  Money orders or cheques should be made out to “AKC”. Money orders or cheques should be made out to AKC.

AKC PO Box 149 Chidlow WA 6556
Tel:  08 9572 7255   Fax: 08 9572 7266

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