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MEMBERSHIP RENEWAL Name : ______________________________________________________________ Address:______________________________________________________________ ____________________________________________________Postcode:_________ Phones : (H)_________________(W)_________________(M)___________________ e-mail address: ________________________________________________________ Amount enclosed : $_____________ Membership is $30.00 per annum, with a concessional membership of $15.00 open to pensioners and students.
Signed : ______________________________________ Date : _________________
Guardian/Parent signature : _____________________________________________(If under 18 years old)
Membership will continue if this form is returned with the fee before 31st October.
Any comments: ________________________________________________________
PO Box 242 Telephone number
of the AARG/Museum is: (61 3)
9580 7752 Email
the AARG/Museum at info@aarg.com.au |
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