B.R.G.S.MEMBERSHIP

NAME:_________________________________________

ADDRESS:______________________________________

          ___________________________________________

          ___________________________________________

I wish to apply for membership of the B.R.G.S. Inc. /

Renew Membership

 

Enclosed is full payment consisting of an initial joining fee of $5.00 and / or
yearly membership fee of

$20.00 Single Membership
or
$25.00 for a Family Membership

Total enclosed being $_______________

 

Please make cheque or money order payment to B.R.G.S. Inc.

P.O. Box 1049, Bendigo.  Victoria.  3552

Or pay via Bank Transfer

BSB:  633-000  Account No.  101 413 680

A/C Name:  Bendigo Regional Genealogical Society Inc.

 

Make sure you include your name in the reference section.

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