APPLICATION FOR MEMBERSHIP* / RENEWAL OF MEMBERSHIP*
NOTARIES’ SOCIETY OF SOUTH AUSTRALIA INC
2021/2022

Full Name:        ……………………………………………………………………………………………………

Firm:      ………………………………………………………………………………………………………………

Geographic Zone:
eg Adelaide CBD / Inner Metropolitan / Southern Suburbs / Northern Suburbs / Regional (circle one or add)  ………………………………………………………………………………….

Business Address:    …………………………………………………………………………………………….
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Business Ph:
…………………………….…….      Business Fax: ……………………..………

Mob: …………………………….……………..


Business Email:
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Foreign Language Spoken:
………………………………………………. (for inclusion on website language list)

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I certify that in applying for membership* / renewal of membership*, I am a duly appointed Notary Public and a Legal Practitioner holding a current Practicing Certificate in and for South Australia.

I hereby apply to be admitted as a member* / renew my membership* of the Notaries’ Society of South Australia Inc, and agree to be bound by the Constitution and the Rules of the Society, as amended from time to time, for so long as I remain a Member.
(*delete as applicable)


Signature:
………………………………………………………………………….……….   

Date:     ………/..……/ 2021

APPLICATIONS – Please complete and return this form and Membership Fees (preference is print and email Application and effect payment electronically) as soon as possible to:

Email: office@dianemyers.com.au

MEMBERSHIP FEES:
Please remit fees of $100.00,
by direct payment to Bank:
Commonwealth Bank: BSB: 065 000 | Account No: 12267977
Account Name: Notaries’ Society of SA Inc. and your name as reference

or if by cheque (preferably by EFT)
payable to the “Notaries’ Society of South Australia IncTo:
The Treasurer (Diane Myers)
Notaries’ Society of South Australia Inc
c/- Diane Myers Family Law
Suite 4/79 Pennington Terrace
NORTH ADELAIDE SA 5006

Enquiries: Sam Appleyard 8236 7681 or Diane Myers 8373 2000