Overcorp International Member Application / Renewal Form
Primary Member name: __________________________________________________________________________
Member Partners Name: __________________________________________________________________________
Address:________________________________________________________________
City:______________________________ State: ___________Post Code________
Requested Membership Level: Family: yes no
SUB-LEASE $1100 / year (Maximum 10 members)
Gold Member $110 / year Gold Family $220 / year
Silver Member $55 / year Silver Family $110 / year
Bronze Member $22 / year Bronze Family $55 / year
Status: NEW MEMBER – 1st Year 2nd 3rd 4th 5th
Comments:______________________________________________________________
___________________________________________________________________________
Deposit:__________________ Balance:___________________
Contact Rick direct on 0402-998-961 or email at info@overcorp.com.au…