I hereby apply to become a member of the above mentioned incorporated association. In the event of my admission as a member, I agree to be bound by the rules of the association of the time being in force. I give my written consent to Fire and Rescue NSW to release my personal address details to the Employees of the NSW Fire Brigades Relief & Welfare Fund Incorporated at the request of the fund at any time while I am a member of the fund.
I hereby authorise and request you to deduct from my salary the amount of $1.00 per week (amount to be determined by the Board from time to time) and remit this amount to the Employees Of The NSW Fire Brigades, Relief & Welfare Fund Incorporated. The deduction to commence on the first available pay day after receipt of this authority. All amounts on my behalf in accordance with this authority shall be deemed to be payment to me personally and this authority will continue until such time as it is withdrawn by me in writing.