MEMBERSHIP FORM

AUSTRALIAN ZOROASTRIAN ASSOCIATION

Please in Capital letters
write

MAIN APPLICANT SPOUSE

Name: Name:

Surname: Surname:

Phone: Phone:

Email: Email:
Profession/trade/expertise: Profession/trade/expertise:

YOUR ADDRESS CHILDREN (under 25 years) If older than 25 years, apply separately

MEMBERSHIP CATEGORY please tick one. Your membership requires renewal on 1st July every year

LIFE MEMBERSHIP (30 x applicable category of Annual SENIOR $25 for individuals 65 years of age and over
membership)

FAMILY MEMBERSHIP $80 for couples and families with OUTSTATION $25 residing outside Sydney Metro
children under 25 years of age

SINGLE $40 for singles over 25 years of age STUDENT $25 overseas students under 25 years of age

PAYMENT OF MEMBERSHIP FEE - Please transfer to AZAs account with CBA (062140 00902574) & email treasurer@aza-committee.org.au for information.

The form may be scanned & emailed to: secretary@aza-committee.org.au

MAIN APPLICANTS SIGNATURE:

Place of Birth: Last Country of Migration:

Proposers Name: Proposers Signature:

Seconders Name: Seconders Signature

Section 4: Any Zoroastrian as defined in section 1.6 of the AZA Constitution, over the age of 18 years who is residing in Australia shall be eligible for
membership as an Ordinary or Life member in the Association.
1.6: A Zoroastrian is one who believes in and follows the precepts of Asho Zarathushtra and has been duly inducted into the faith after undergoing a navjote
/ sudreh pushi ceremony (initiation ceremony).

Australian Zoroastrian Association. 196 Annangrove Road, Annangrove NSW 2156, Australia
Phone +61 2 9679 1186 | www.aza.org.au | INC9882758 | ABN 38 389 451 981 | v201610 nd