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WESTERN BANDERS ASSOCIATION

Subscription Form

(Please select, copy & print this form and complete details, then forward to Treasurer)

Subscription AU$10 p.a.

Plus AU$5 for additional subscriptions at the same address.

AU$15 for Overseas members.

Fees due 1st January each year. New Subscriptions paid after 1 October will be credited to the next year.

Name:

Address:

 

City/Town:

State:

Country:

Post/Zip code: 

E-mail address:

Fax:

Tel(Home):

Tel(Mob):

Suggested Activities :

Can we list your name, address and telephone number in Western Banders  News?:  Yes - No

Do you wish to receive WBA News by e-mail?:  Yes - No

Signed:

Date:

Make cheques payable to Western Banders Association and mail to:
Greg Marston, Treasurer, 'Waldja', 35 Crossman Road, Boddington. WA 6390.

Copies of the WBA Constitution are available on request

2009 Subscription Invoice

 Subscriptions can now be paid by direct debit – This can be quite easily done by contacting your bank and supplying the WBA bank account details as listed below.

 Subscription $10.00 p.a.                  Plus $5.00 for additional subscriptions at the same address.

 $15.00 (Aus) for Overseas members.

Due 1st January each year.     New Subscriptions paid after 1 October will be credited to the next year.

Bank                       National Australia Bank

Location                   Boddington WA 6390

Account Name            Western Banders Association

BSB No.                  086-535             Account No   87-072-5902

 

Name 1:

 

Name 2:

 

Name 3:

 

Amount:

 

 

 

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Copyright Western Banders Association, 2010            Last Updated: 27/06/2010