INTEREST GROUPS
APPLICATION FOR MEMBERSHIP
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Name: |
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Address: |
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Phone: (H): |
(W): |
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Email: |
Fax: |
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Membership No. |
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I wish to join the following Interest Group (s):-
Enclosed is $16.00 (incl GST) membership fee for each Group.
If you are posting this application form, please include a stamped self addressed envelope.
Come along to the next meeting of the Group (s) and make yourself known to the person chairing the meeting.
Applicant's Signature:
Date: