BAVA Membership Registration Form: 2022-23

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BAVA Membership Registration Form: 2022-23

Deposit $20 payment to: BAVA Account (Bendigo Bank): BSB: 633000 Acc. Number: 155475403 (include your full name as a reference)

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* Indicates required question

Title *

Dr

Mr

Mrs

Ms

Other

First Name *

Your answer

Last Name *

Your answer

E-mail *

Your answer

Mobile *

Your answer

Postcode *

Your answer

What membership type suits you? Note that this is only for statistical purpose for future improvements, the flat fee of $20 will still apply. *

Student ($15)

Professional (30)

Family Package with under 18 children ($50)

Non-paying member ($0)

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