Hervey Bay Women’s Shed Inc. Membership Form

Hervey Bay Women’s Shed Inc. Membership Form
Member Info
Full Name*
Date of Birth*

MonthDayYear
Date
Address*
Mobile Phone*
Work Phone
Email*
example@example.com
Emergency Contact
Full Name*
Mobile Phone*
Work Phone
Email
example@example.com
Are you interested in volunteering?
Areas of interest
Membership Fee
Membership Fee
Payment Method: Direct Deposit - Use First & Last Name as reference.

Bendigo Bank

BSB: 633-000 Account: 205492192
Should be Empty: