Surname: Ms / Miss / Mrs / Mr _______________________________________________________
Christian Name(s): _________________________________________________________________
_________________________________________________________________
Address: _______________________________________________________ ( All correspondence will be sent to this address)
_______________________________________________________
Post Code: _______________
Phone Number(s): B/H: ( ) ___________________________________
A/H: ( ) ___________________________________
Mobile: ________________________________________
Membership Address ( If different to above ) : ______________________________________________________
______________________________________________________
Post Code: _______________
PROPERTY DESCRIPTION
HOUSE / UNIT / TOWNHOUSE / OTHER ___________________________________________
SINGLE STORY / TWO STORY
SOLID BRICK / BRICK VENEER / WEATHER BOARD / OTHER ______________________
HOW MANY BEDROOMS ? ___________
HOW MANY BATHROOMS ? __________
GAS & ELECTRIC / ALL ELECTRIC
APPROX. AGE OF PROPERTY _________________________________ YEARS
RENTAL / OWNER OCCUPIER / OTHER ________________________________
STRATA MANAGER ( If Applicable ) : ____________________________________________________
PHONE NUMBER : ( ) __________________________ MOBILE: ________________________
PROPERTY MANAGER ( If Applicable ) : __________________________________________________
PHONE NUMBER: ( ) ___________________________ MOBILE: ________________________
Membership Subscription Fee of $165.00 (1st), $145.00 (2nd) property to be returned with this form. (P.O. Box 263, Seaford. S.A. 5169) Upon receipt of completed form by and payment of subscription(s) to Property Maintenance SA, both parties will be bound by "Membership Terms & Conditions" (see tab at top of page) for a period of twelve ( 12 ) months.
Signed: _________________________ _________________________ Date: _______________ ( Applicant 1 ) ( Applicant 2 )
