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Membership Form 2012
Please send to: -
Treasurer
Basketmakers of Victoria
PO Box 1467
Camberwell East 3126
Name ………………………………………………………………..………..
Address ………………………………………….……………………..….……
…………………………………………..…Post Code ……….…………
Phone ( ) …………………...…………………………...…………….
Mobile ………………………………………….…………………….………..
Email …………………………………………………………………………
Enclosed is my cheque for $……………
Where did you hear about Basketmakers of Victoria?...........…………………..…
Fees: New member – Victoria $50, Interstate $40. (Includes $15 joining fee)
Renewals – Victoria $35, Interstate $25
YES or NO – Please circle
Do you agree to your contact details (name, address, phone,
email) being on a printed membership list which is distributed to
BOV members only?
Office Use Only: Date Renewed Receipt No.
Please send to: -
Treasurer
Basketmakers of Victoria
PO Box 1467
Camberwell East 3126
Name ………………………………………………………………..………..
Address ………………………………………….……………………..….……
…………………………………………..…Post Code ……….…………
Phone ( ) …………………...…………………………...…………….
Mobile ………………………………………….…………………….………..
Email …………………………………………………………………………
Enclosed is my cheque for $……………
Where did you hear about Basketmakers of Victoria?...........…………………..…
Fees: New member – Victoria $50, Interstate $40. (Includes $15 joining fee)
Renewals – Victoria $35, Interstate $25
YES or NO – Please circle
Do you agree to your contact details (name, address, phone,
email) being on a printed membership list which is distributed to
BOV members only?
Office Use Only: Date Renewed Receipt No.
