Membership Application

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Application for Membership

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

Address

Street City, Town or Suburb State Post Code

Joining Fee - $35.00

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Magnetic Name Badge: $15.00

Yes

No

Amount Payable

Method of Payment

Direct Deposit

Cheque

Payment Details

Direct Deposit:

Oatley 101 Society of Artists Inc
BSB: 032151
Account No.: 244092

Identify your payment with:
MEM followed by your name and then your initial eg. MEMSMITHJ for John Smith

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Please make cheques payable to

Oatley 101 Society of Artists Inc.
and forward to:
The Secretary,
47 Naranganah Avenue,
Gymea Bay, 2227

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Cash Payments

Cash Payments may be made in person to the Secretary who will issue you with a receipt of payment.

Application for Membership

Joining Fee - $35.00

Payment Details

Direct Deposit:

Please make cheques payable to

Cash Payments

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