BSV Membership Form

Membership Application

2024-2025
Membership options*
prevnext( X )
New Membership$30 Membership Fee + $15 Joining Fee
$45AUD



Renew MembershipFor existing members only
$30AUD



New Additional Member$5 Membership Fee + $15 Joining Fee (must reside at the same address)
$20AUD



Renew Additional MemberFor existing members only (must reside at the same address)
$5AUD



Total

$0.00AUD

Member Details
Full Name*
Signature*

Clear
Additional Member*
Additional Member #2*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Contact Number*
Email*

Payment must be made before submitting this form

Payment details
Bonsai Society of Victoria
Westpac BSB - 033 062
Account No - 182146

Please identify your payment with your name.

This form will be automatically sent to the Club.
Date Paid*

DayMonthYear
Direct Debit Reference #*
Should be Empty: