Friends Getting Together Incorporated (A0045974S)

Membership Renewal Form

Name

First Name Family Name

Telephone Number Mobile Telephone Number

Email Address

Other Contact Details (enter details only if changed)

Street Address Suburb Postcode

Payment

The cost per year is $45 if the newsletter is sent by e-mail, or $67 if the newsletter is sent by Australia Post.

Either, I have transferred the relevant amount to Friends Getting Together's account at Bendigo Bank, BSB No.633000, Account No. 163475841. (When transferring at the bank use your phone number as an identifier.)

Date that transfer was made:

Or, I have sent a cheque for the relevant amount to Friends Getting Together, PO Box 174, Ringwood East LPO, 74 Railway Avenue, Ringwood East, 3135.

Date that cheque was posted:

Amount remitted:

I require the newsletter to be sent by:

I wish to renew my membership of Friends Getting Together Inc. I will support its purposes, comply with the Rules of Association and accept the conditions of membership.