The Kununurra Historical Society Inc.

"Copy & Paste" Membership Form

Don't like the online form above?  You can use this form below to select, "Copy & Paste" (into an email OR into a document, print and post. 

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The Kununurra Historical Society Inc. (KHS)

Membership Application and/or Donation Advice

The Kununurra Historical Society Inc. - ABN 54 423 759 052 

*Junior (Under 18 - Per Annum) Membership $10.00

(* Or use “Family” includes all children up to 18 yrs free)

Student/Pensioner (Per Annum) $15.00

Single Membership (Per Annum) $30.00

Family Membership (Per Annum) $50.00

Corporate Membership (Per Annum) $300.00

Student/Pensioner Life Membership (10 x annual) $150.00

Single Life Membership (10 x annual) $300.00

Family Life Membership (10 x annual) $500.00

[Financial "Life Membership" fees are ten times the "annual" applicable membership fees.  Please note that all Family Life Memberships only include children until they reach the age of 18.]

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 by Direct Deposit to KHS A/C:

Total amount if paying by Cheque:

Direct Deposit to BSB 086-787 A/C 027434052 – Please use "Membership" & Surname for your deposit reference.

Date:

Name(s):

Address: 

Phone Number(s)

Email Address

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

 This Membership Application Form can be pasted into an email, filled in and emailed to admin@kununurra.org.au or print and post to PO Box 77 Kununurra WA 6743

Or fill in and post to 

The Kununurra Historical Society

PO Box 77 

Kununurra WA 6743.

Updated with new rates after KHS AGM in March 2024

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Have you Lived in Kununurra or the Kimberley?

Please feel free to use the area below to provide some details of your time in the Kimberley region, that we can add for preservation in the KHS archive. (for your descendants to one day find :^)

Your Family Name 

Your First Name 

Other Family Members here at the time?

• Where : 

• Year(s) : 

[When answering 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?

•  Memories

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

If you would like a copy of this questionnaire emailed to you please provide your eMail Address (unless provided in membership form above) -  email :

We hope your visit to the Kununurra Museum (online or in person), run by volunteers 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. See below about your photographs.

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Email to admin@kununurra.org.au or print and post to PO Box 77 Kununurra WA 6743

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END of "Copy & Paste" Membership Form.

New Members NEEDED - Join Us Now!

 Although we do have  around 100 members, most are spread around Australia with about 10 to 15 local members, of whom around 4 or 5 members regularly attend our monthly meetings.  As some local members have passed, others have recently left, we  need more local members, who can help to keep our Society going strongly in Kununurra. 

You would be helping greatly to support the continuation of the important work being carried out by the Kununurra Museum, run by the Kununurra Historical Society (KHS) if you can...

Join KHS as a Member 

Join KHS