Contact Information Form
Welcome to the Churchie Old Boys' Association
To assist us in maintaining contact with you, please complete the following details.
First Name:
*
Last Name:
*
Peer Year:
*
Email Address:
*
Mobile Phone:
*
Unit Number:
Street Number:
*
Street Name:
*
Suburb:
*
Postcode:
*
State / Territory:
*
Country:
*
I would like to receive:
*
OBA Monthly eNewsletter
OBA Event Invites
OBA Vale Emails
I would like to:
*
Receive Eagles' Wings via Email
Receive Eagles' Wings via Post
Receive Eagles' Wings via Email & Post
Not Receive Eagles' Wings
By submitting this form, you agree for your contact information to be shared between the Churchie Old Boys' Association and the Anglican Church Grammar School (Churchie).
Submit
Should be Empty: