Membership application

If you are interested to join the Herb Society, get the Herb Age and come to our monthly meetings please print the following form by selecting print in black or grey scale before you print and mail to us at Herb Society of Victoria,            PO Box 396, Camberwell 3124.

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Herb Society Logo

The HERB SOCIETY of VICTORIA INC

PO Box 396 CAMBERWELL, VIC 3124

APPLICATION FOR MEMBERSHIP

SURNAME                                               TITLE               GIVEN NAME__________________

ADDRESS                                                                                                           ___________________ POST CODE_____

TELEPHONE                                                                                                                             

EMAIL ADDRESS _________________________________

Payments made as below will ensure membership till June 30 2018

Renewals are due on 1st July each year  – please tick the box as appropriate :

Δ  Individual membership posted to the above address         $34

Δ  Individual membership sent to the above email address    $26

Δ  Family membership      posted                                                $42

Δ   Family membership     emailed                                              $32

Enclosed   $ ………………………  Cheque / Cash

Please send NO cash by mail.

For payment by EFT quote Bendigo Bank, A/c The Herb Society of Vic Inc, BSB 633 000, A/c No 1589 144 32.

You must ADD YOUR NAME otherwise we cannot recognise your payment.

For receipt please enclose a stamped

self-addressed  envelope                                                                                                                               

OFFICE USE                 Receipt …………………………………                    
Amount _______________         Date Processed _________

Cash/Cheque/EFT

 

 

 

 

 

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