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.
________________________________________________________________________
The HERB SOCIETY of VICTORIA INC
PO Box 396 CAMBERWELL, VIC 3124
APPLICATION FOR MEMBERSHIP
SURNAME TITLE GIVEN NAME__________________
ADDRESS ___________________ POST CODE_____
TELEPHONE MOBILE __))____
EMAIL ADDRESS _________________________________________________
Payments made as below will ensure membership till June 30 2019
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 Please Circle relevant one