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Membership Renewal Form

2023 Membership Renewal Form

First Name(Required)

Please enter your name in CAPITALS

Last Name(Required)

Please enter your name in CAPITALS

Phone(Required)

Email(Required)

Address(Required)

Street City, Town or Suburb State Post Code

Renewal Fee - $30.00

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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