Membership Form

Title

First Name

Last Name

House/Flat#

Address

Suburb

City

Postcode

Country

Occupation

Contact Number

Member Number (if existing)

Membership Type

Full Member ($55)
Junior Member ($27.50)

If you have chosen Junior Member please supply a parent or guardian name

Parent or Guardian Name

Personal information supplied is for the sole use of the Society and is not made available to any other organisation

By submitting this form you agree that if your application for membership is accepted, you will comply with the rules of the society. If joining after 1 October your subscription will cover the following financial year.

Joomla Professional Work

Main Menu

Bookings Calendar

March 2010

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Special Projects

$5000

$100

Updated:
30/09/2009