Membership Form - Nannup History
NANNUP HISTORICAL SOCIETY & MUSEUM
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COLLECTION
NEWS
MEMBERSHIP
CONTACT
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Home Page
COLLECTION
NEWS
MEMBERSHIP
CONTACT
Nannup Historical Society (inc)
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Nannup Historical Society & Museum
Application for Membership or Renewal Form
Membership or Renewal
Membership
Renewal
Title*
First Name*
Last Name*
Address*
Address 2
City*
State*
-
WA
SA
NSW
VIC
QLD
TAS
NT
ACT
Post Code*
Home Phone
Mobile
E-mail Address
Preferred way of contact
-
Phone
Mobile
Email
Any
Please note: Membership runs from 1st January to 31st December.
Payment of $10 may be made by EFT to BSB: 066508 Account: 10141053 Please include your name as a reference. Or you can pay online by clicking on the link below.
Nannup Historical Society Inc
Old Roads Board Building
Warren Road
Nannup WA 6275
PO Box 184
Nannup WA 6275
PRIVACY DISCLAIMER The collection of these details is primarily to register you as a member of the Nannup Historical Society. This information may also be used as a communication tool between the Society and its members. Members agree to abide by the rules of the organisation.
Pay for Membership
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