For New members and current members wanting to change their address, please provide us the information below.
Your details are kept Confidential
The
Koorie
Gay & Transgender Sistergirl
Social
/ Support Group of Victoria
Name: ………………………………………...........
Date of Birth: ….....…/.....……/....……
Postal Address:
……………………………..........
……………………………..........
……………………………..........
Phone number:
……………………………..........
Email Address if you have one:
……………………………..........
Return by mail to: OUTBLACK
C/O VAC/GMHC
6 Claremont Street
South Yarra VIC 3141
Or Email us your details to outblack@hotmail.com
Click
here to download and print the form in Word Format
