Membership Renewal 2020/21
Membership Renewal 2020/21
1st July 2020 - 30th June 2021
Renewal  Form
First Name Surname
K-CHS Member
Address only required if changed
Street or POB
City/Suburb
State
Postcode
Phone Mobile
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
Second person    (for family membership)     * only if different from first person
First Name Surname
Year of Birth Mobile *
email *
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 [email protected]
If you encounter any problems booking, please email [email protected]

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