Membership Renewal Form
Name
First Name
Last Name
Email
*
example@example.com
Membership Number
Prefix Name (if relevant)
Are you transferring prefix from another organisation
Yes
No
Renewal Fees
prev
next
( X )
Prefix Renewal
$
25.00
AUD
Prefix Transfer
Select if you are transferring prefix from another organisation
$
25.00
AUD
Single Annual
$
58.00
AUD
Dual Annual
$
79.00
AUD
Family Annual
$
84.00
AUD
Pensioner Single Annual
$
37.00
AUD
Pensioner Dual Annual
$
53.00
AUD
Junior (16 to 18 years) Annual
$
37.00
AUD
Associate Membership Annual
$
37.00
AUD
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Total Fees
Bank details: Commonwealth Bank
BSB: 062622
A/C: 10464356
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