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ADFAS Tamworth Region
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2021 Annual Membership and Renewal Form
First Name:
Your answer
Surname:
Your answer
Address:
Your answer
Phone:
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Email:
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Compliance with the Privacy Act: I consent to have my name and contact details added to the ADFAS data base, and for them to be used to provide information to me on ADFAS lectures and news.
Yes
Annual Membership 2021:
Adult Member $150.00
Pensioner $125.00
Under 30 $125.00
Payment Options:
Cheque (Mail to ADFAS Tamworth Region, PO Box 1293, Tamworth 2340)
Direct Deposit
BSB: 932 000 Account Number: 747921
Ref: Please insert your last name and initial
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