Broome museum

Broome Historical Society

If you wish to become a member of the Broome Historical Society and join the Museum Volunteers then please complete the form below (NB: the fee is only $1 per annum!) :

BHS Membership Application Form

NB: a printable form is available press here
 
Fields marked with "*" are mandatory
 
Name: *
Home Address: *
Postal Address: *
Email:
Contact Phone: *
Willing to work alone?: Yes No *
Comfortable welcoming patrons
and handling entrance fees?:		 Yes No *
Interested in working with: Research Front Desk Minor Cleaning Special Projects
What times can you help?     AM: Mon Tue Wed Thu Fri Sat Sun
PM: Mon Tue Wed Thu Fri Sat Sun
Name & Phone Number
of Personal Referee: 		*
Emergency Contact
Name and Number: 		*
Any medical
conditions
we need
to know of: 		*
Reason for Volunteering: *
Specific skills
that may help
the Museum:
Receive copy: Tick if you would like to receive a copy of this application
eMail: