First Name(s) | Surname | ||
K-CHS Member | Address is required | ||
Street or POB
|
City/Suburb
|
||
State
|
Postcode
|
||
Phone | Mobile | ||
Enter 'None' if you have no email address | |||
Note (optional) |
ADULT Member or Guest | @ $0 ea | ||
K-CHS is not registered for GST | TOTAL | ||