Membership Nomination Form

The Athene Club is run by a volunteer committee and therefore members can be invited to join.

The proposer of a new member is to welcome and support her nominee into the Club.

Membership Nomination Form 2023

Name (as preferred for badges)

First Name

Last Name

DOB

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Interests/Career background

Name of Proposer

First Name

Last Name

Name of Seconder

First Name

Last Name

Westpac Bank Account Number for paying Annual Subscriptions:

03-0259-0022110-00

Please email us any questions: theatheneclub@gmail.com