WP E-Signature by Approve Me - Sign Documents Using WordPress -

RSPCA NSW New Membership Application

Finalise your RSPCA NSW membership application by confirming your details below and providing an eletronic signature.

Contact Details

Title:	First Name:	Last Name:

Company Name:	ACN:

Address:

Suburb:	State:	Post Code:

Country:	Phone:	Date of Birth:

Email Address:

Membership

Selected Membership:	ThankQ Receipt No:

Pension Number:

I wish to be involved with my local volunteer branch and consent to my details being provided for this purpose:

I wish to become an active adult member of the following RSPCA support branch:

Membership Fee:	Donation (Optional):	Total Cost:

Declaration: I will abide by the RSPCA NSW Constitution and any by-laws of RSPCA NSW (located at www.rspcansw.org.au/wp-content/uploads/2019/02/RSPCA-NSW-Constitution-26-November-2018.pdf). I understand that the processing of payment does not mean my application has been approved. If my application is rejected, the payment will be refunded in full.

RSPCA NSW Volunteer Branches fundraise and undertake activities locally. For further details please visit our website at rspcansw.org.au. Your privacy is important to us. All personal information which you provide to us will be subject yo our Privacy Policy. Our privacy Policy is available on our website and details our commitment to protecting your personal details and privacy: rspcansw.org.au/privacy-policy. Please direct all enquires to our Privacy Officer on 1300 278 358 or email privacy@rspcansw.org.au.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

April 16, 2018 4:25 pm AEDT

RSPCA NSW New Membership Application Uploaded by RSPCA NSW - member@rspcansw.org.au IP 123.231.15.217