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(I forgot to say in this page's title, "Please!" Join KHS Now ;^)

KHS Membership Form

The present membership form is now available below. To use, simply select the form section area, below (from "Form Start" select it down to END of Form Area) - copy the selection - then paste that into your favourite word processor/editor or directly into an email to admin@kununurra.org.au then edit in your selections and cost etc - Send the email with subject as "KHS Membership". Alternatively there is a PDF available to download at the end of the page, which you can print out, fill in then post back, or scan and email back. [We prefer the former - copy & paste into eMail method as this gives us a digital record]

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Form Start

[You can Download a KHS Membership Application (as PDF) to print and send - OR - Use the eMail method, as follows.]
[Fill in with your details or delete if not required eg. Yes/No - Start copy selection from here >>> Select - Copy - Paste into email]

Kununurra Historical Society Inc. (KHS)

72 Coolibah Drive - PO Box 77 - Kununurra WA 6743 - Phone 08 9169 3331

Website: http://www.kununurra.org.au - eMail: admin@kununurra.org.au

Kununurra Museum

Archive, Gallery, Library, & Research

Membership or Donation Advice

Kununurra Historical Society Inc. - ABN 54 423 759 052

(Inclusive of GST)

Student/Pensioner - Single Person - Annual Membership	$ 15.00
Single Person - Annual Membership	$ 25.00
Family - Annual Membership (2 x Adults and Children to Age 18)	$ 40.00
Pensioner - Life Membership	$ 150.00
Single Person - Life Membership	$ 250.00
Family Life Membership	$ 400.00
(NEW!) Pensioner Couple - Annual Membership [Not yet in downloadable (pdf) form below - just add]	$ 24.00
(NEW!) Pensioner Couple - Life Membership [Not yet in downloadable (pdf) form below - just add]	$ 240.00

Donations do not attract GST and are Fully Tax Deductible

Kununurra Historical Society Inc. is endorsed by the ATO as a Deductible Gift Recipient (DGR). 

Any donation over $2 is fully tax deductible. A receipt will be issued that confirms this.

Please note that all Family Memberships only include children up to the age of 18.

Membership Amount: $                             

Donation Amount: $                             

Total amount if paying by Direct Deposit to KHS A/C: $                             

Total amount if paying by Cheque: $                             

Direct Deposit to BSB 086-787 A/C 027434052 – Use Surname for your deposit reference.

If paying in Cash: Type in total for CASH amount here $                            

Cash Received by: KHS Member name receiving cash?_______________________

Date:

Name:

Address:

Home Phone:                                                     Mobile Phone:

Email:

Please indicate if you would like to receive email from KHS (circle your choice). Yes or No

Please feel free to use the area below (or back of the form) to give some details of your time in Kununurra, that we can add to our body of knowledge for preservation in the KHS archive.

Ideally copy and paste from our (Join KHS) membership page (http://www.kununurra.org.au/khs-membership-forms), all the information above and on next page into an email, that way we will have this as an electronic document.

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[Optional to please provide further information of what it was like when you were here?]

[For a KHS Register of Past Residents]

Have you lived in Kununurra or the Kimberley?

Your Family Name ........................................................................................

Your First Name ............................................................................................

Other Family Members here at the time ....................................................................................................

..............................................................................................................................................................

..............................................................................................................................................................

Where : .................................................................................................................................................

(Town, station, mission, street etc)

Year(s) : .................................................................................................................................................

[When answering all questions below please try and use dates/years for any events you can recall as much as possible when you write, which will assist KHS and future researchers?]

* What brought you to the Kimberley and what did you do?

..............................................................................................................................................................

..............................................................................................................................................................

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* Memories

[eg. Arrival/First Day - Events or places visited, anything?]

..............................................................................................................................................................

..............................................................................................................................................................

..............................................................................................................................................................

[Feel free to add categories or Subject headings and add as much as you start recalling?]

…....................................................................................

We hope your visit to the Kununurra Museum (run by volunteer members of the Kununurra Historical Society), and this questionnaire bring back some great memories for you. We'd like to encourage you to write more about your time in Kununurra which we can add later to accompany this file. Remember that KHS has a purpose-built archive facility for the preservation of your photographs and documents. Please keep us in mind. You can join KHS to get regular news and information on new archives in monthly KHS minutes. Help support this volunteer community group with the preservation of our local history by joining KHS. If you lived in the East Kimberley - KHS Needs You! Become a Life Member! (Just 10 x the cost of 1 years membership)

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[This Membership Application Form can be filled in and emailed back - Copy and Paste into text editor or an email.]

[Last Updated - with new rates after KHS AGM in March 2012 - This form November 12th 2015 - Again on January 2nd 2016]

[<<<<< END Copy selection here - END of KHS Membership Form]

............................... (Tear here........... ;^) .................

[Copy Above - Paste into an email to admin@kununurra.org.au]

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Your Records of Significance

  Whether you are an individual, family, organization or business, and have records of significance to the history of the Ord, please consider their future preservation, in the Kununurra Historical Society purpose built Archive facility. It is of great importance to preserve Kununurra's history, with an ever transient population, the KHS is actively seeking to collect, original or digital photographic collections, and documents, of significance to this history, from past, present and future residents. However small your collection it may be of significance, for example a photograph may give a new angle on something. KHS aims to preserve and welcome the original photographic prints or slides, films, videos, documents or other objects in collections. These donated records can also be digitised to a high standard (at present 5500 pixels on the long side of an image) and returned as fully documented digital images to the donor on a USB memory stick, SD card (or other existing or as yet un-described storage device of the future ;^) - If archival preservation is not wanted, original collections can be digitised and returned to the donor, if required. If you know of records that should be preserved for the future, please  Contact KHS - ALSO see - Your Kununurra History.

Join KHS

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  Would you like to be involved, hands on, in a museum? Do you have an interest in history? Would you enjoy outings to locate, photograph and document historic sites? Have useful skills, or want to learn new skills? Perhaps you have skills to help with, researching; writing up and accessioning archives; photographing our many and varied documents and collections to digitally capture records; or researching and writing. Maybe you have excellent PC skills, or would just like to volunteer some time and learn about the Museum and Archives. Perhaps you have knowledge and skills that could greatly assist the work that can be done. KHS is a totally volunteer organization, with a handful of active members and any help you can give, would be very welcome. For further information contact us, any time, either at the Kununurra Archives & Museum, Coolibah Drive, Kununurra, where we meet at 7pm on the 1^st Tuesday of the month.
Also See - KHS Volunteers.

  The membership form is now pasted in above. To use simply hilight the form section, then paste into an email (to admin@kununurra.org.au) or into your text editor/word processor and edit - Send with subject "KHS Membership"

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