Membership Renewal 2018/19
Membership Renewal 2018/19
1st July 2018 - 30th June 2019

Renewal  Form
First Name Surname
# Address is not required for members unless changed.
Street or POB # City/Suburb #
State # Postcode #
Phone
email  Enter 'None' if you have no email address
Note (optional)
Year of Birth
(req'd for insurance)
Millstone by post
as well as by email
Other names & YoB
(for families)
Tell us a little about you
Single Adult Membership @ $20 ea
Family Membership @ $30 /family
Single Senior Membership (70 and over) @ $12.5 ea
Senior Family Membership (either over 70) @ $15 /family
K-CHS is not registered for GST TOTAL      

For any general questions please email secretary@kurrajonghistory.org.au
If you encounter any problems booking, please email webmaster@kurrajonghistory.org.au

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