Casino & District Family History Group Inc
PO Box 586 Casino NSW 2470
Membership Year 1st January - 31st December
Please complete where applicable and post to above address.
Address
Postal Address Post Code
Telephone Email
New Member ...Renewal Member No
Signature Date
Joining Fee $5.50
Single $30.00........
Family $40.00........
Pension $25.00.........
Pension Couple $35.00.........
Student $20.00.........
Membership period 1st January - 31st December.
Half year membership is available to new members only if joining after June 31st the Joining Fee remains the same.
ROSTER Are you willing to do roster - Yes____ No ______
Total Amount Enclosed ................................................