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| After printing out, please return the completed Membership Form to:
PO Box 151
Chermside Qld 4032 Australia Queries, phone: (+61) 3359 7761 (bh) |
| NAME: | ||
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POSTAL ADDRESS:
Please include postcode. | ||
| PHONE: | MOBILE: | FAX: |
The name provided below will appear on the Gift Membership card. |
| NAME: | ||
| I would like the Gift Membership Card to be mailed to: | [ ] | my postal address |
| [ ] | the postal address provided below | |
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POSTAL ADDRESS:
Please include postcode. | ||
| PHONE: | MOBILE: | FAX: |
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I enclose a cheque:
Please tick only ONE box. |
[ ] | AUD$15.00 = payment for my subscription for one year |
| [ ] | AUD$28.50 = payment for a Gift Membership Card (subscription for a friend for one year) + payment for my subscription for one year |