First Name(s) | Surname | ||
K-CHS Member | Address is required | ||
Street or POB
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City/Suburb
|
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State
|
Postcode
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Phone | Mobile | ||
Enter 'None' if you have no email address | |||
Note (optional) |
SENIOR MEMBER | @ $14 ea | ||
ADULT MEMBER | @ $16 ea | ||
VISITOR | @ $18 ea | ||
K-CHS is not registered for GST | TOTAL | ||