JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Membership Renewal/Application - SHMAPA
2023-24 financial year Membership (Fees are on an Annual basis and become due on 1 July)
NB: Minutes and newsletters and most other communications will be distributed by email.
Sign in to Google
to save your progress.
Learn more
I wish to renew/join SHMAPA on the basis of:
Individual Membership: - $20
Family Membership: $25
Individual/Person 1 details - First Name and Surname:
Your answer
Person 1 email address:
Your answer
Person 1 postal address, including Postcode:
Your answer
Person 1 Phone (Mobile and/or Home):
Your answer
Do you have any special interests regarding joining SHMAPA?
Your answer
Are you a past member of SHPA, SHMAPA or WERA?
Yes
No
Clear selection
For Family Membership - details of additional person(s) covered by this membership:
Person 2 details - First Name and Surname:
Your answer
Person 2 email address:
Your answer
Person 2 Phone (Mobile and/or Home):
Your answer
Person 3 details - First Name and Surname:
Your answer
Person 3 email address:
Your answer
Person 3 Phone (Mobile and/or Home):
Your answer
Payment
Are you paying by
Cash at meeting
Cheque made out to Surrey Hills and Mont Albert Progress Association
Direct Deposit (to Surrey Hills and Mont Albert Progress Association: BSB 633000 Account No 141152777 at Bendigo Bank) Please include your name and the word MFees in the transaction description.
Clear selection
Cheques may be presented at a SHMAPA meeting or posted to Surrey Hills and Mont Albert Progress Association, PO Box 236, Mont Albert 3127
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
