Personal Details
Mr
Mrs
Ms
Miss
Fr
Rev Fr
Pastor
Prof
Dr
Master
Sir
Sr
Male
Female
Street address
WA
ACT
NSW
NT
SA
QLD
TAS
VIC
(other)
Postal address
WA
ACT
NSW
NT
SA
QLD
TAS
VIC
(other)
Membership
Individual ($20 per year)
Married couple ($30 per year)
Pensioner ($10 per year)
Paid by spouse (no separate membership fee)
Able to help with
Maintenance
Cleaning
Counselling
Administrative
Quiz night
Raffle
Annual dinner/lunch
Other
Acceptance
Agreement