| First Name(s) | Surname | ||
| K-CHS Member | Address is required | ||
|
Street or POB
|
City/Suburb
|
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|
State
|
Postcode
|
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| Phone | Mobile | ||
| Enter 'None' if you have no email address | |||
| Note (optional) | |||
| K-CHS Member | @ $18 ea | ||
| Visitor | @ $20 ea | ||
| K-CHS is not registered for GST | TOTAL | ||