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

It is essential that the payment record identifies the payer. When making an on-line transfer please include your name in the payment description. When making your transfer at a bank, please ask the teller to do so.

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

I have transferred the relevant amount to Friends Getting Together's account at Bendigo Bank, BSB No.633000, Account No. 163475841.

Date that transfer was made:

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.