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

Renewal  Form
First Name(s) Surname
K-CHS Member
Address is required
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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