Balwyn Historical Society

Membership Application



Suburb             Postcode    3nnn

Phone                  Mobile 


Type of membership      Single   Joint -- 2 adults at same address

  Membership fees for 2016/17     $25 single   $35 joint

                   To apply for membership, please fill in this form (you may do this on your computer). Then you may print the form and either :

                  ●     Bring it with your payment (cash or cheque) to a BHS meeting

                  ●     Mail the form with a cheque payable to the
                                Balwyn Historical Society, at 
                     45 Talbot Ave, Balwyn 3103.





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