Casino & District Family History Group Inc

PO Box 586 Casino NSW 2470

 

New Member & Membership Renewal Form

 Membership Year 1st January - 31st December

Please complete where applicable and post to above address.

 

 

Name……………………………………………………………………………………………………

Address………………………………………………………………………………………

………………………………………………………………………………………………

Postal Address…………………………………………………Post Code………………

Email Address.....................................................................................................................

Telephone……………………………………………………………………………........

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.........                                  

Newsletter 4 issues   $3.00 per year of free if you choose to have it emailed

 

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 ______

 

Payment by Cash, Cheque or Money Order

Total Amount Enclosed ................................................     

 

 

 

                                             

 

 

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