Membership Application – Old Kobeelyans’ Association

Old Kobeelyans’ Association Inc. Membership Application

Thank you for your membership application and your ongoing support of the Association.

Your membership subscription will renew every 12 months after you have signed up. Please let us know if you wish to cancel your membership.

Your payment will go towards the upkeep of our Museum, our webpage, and subsidising functions.
We also make donations to keep the name of “Kobeelya & Kobeelya Penrhos” alive in the community.
Financial members receive two copies of our newsletter The Kobeelyan annually.

A copy of the Association’s Rules or Constitution are available for download at the Old Kobeelyans’ Association tab.

Registration Form

Step 1 of 3

Christian Name(Required)

Surname(Required)

Maiden Name(Required)

Years @ Kobeelya & Kobeelya Penrhos (Start Year)

Years @ Kobeelya & Kobeelya Penrhos (End Year)

Address

Street Address Suburb/Town City State Postcode Country

Phone

Email(Required)

Offline Registration

If you opt to register offline, you can download a copy of the form or fill it out online here.

Send us a copy of your filled out registration form to the return address below with your cheque payment.

Old Kobeelyans’ Association Inc.
Linda Broadhurst
184 Pinetree Gully Road
WILLETTON WA 6155
Email: linda.broadhurst@live.com.au