Membership Renewal 2017/18
Membership Renewal 2017/18
1st July 2017 - 30th June 2018

Renewal  Form
Please indicate in the Note field if you are happy to receive Millstone by 'email only'.
Include both first names for family memberships.
First Name Surname
Street or POB # City/Suburb #
State # Postcode
Phone
email
Note (optional)
# Address is not required for members unless changed.
Single Adult Membership@ $25
Family Membership@ $30
Single Senior Membership (75 and over) @ $12.5
Senior Family Membership (75 and over)@ $15
K-CHS is not registered for GST TOTAL      

For any questions please email secretary@kurrajonghistory.org.au

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