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Title (Mr, Mrs etc)...................Surname .............................................
Given name(s).................................................................................
(Given names of other interested family members........................................................................)
Address.......................................................................................
..............................................................................................
..............................................................................................
Postcode.........................
Phone .........................................
E-mail ......................................................... Fax..................................................................
Membership Category ............................
Date ............................................
Signature........................................................
Post to
Membership Secretary
The Fern Society of Victoria Inc.
34 Noble Way
Sunbury
Vic 3429
Membership Categories ---Annual Subscription Fees
Single $17
Family $19
Student/Pensioner $14
Pensioner Family $16
Organisations $20
Overseas (Air Mail) A$25 (Payment by international Bank Cheque in $A please)
Subscriptions fall due on 1st of July each year.
New subscriptions received in January to June carry through to June of the following year.