FRIENDS OF ORGAN PIPES NATIONAL PARK INC. MEMBERSHIP APPLICATION/RENEWAL
Please forward this form with $12 (cheque or money order), to the treasurer:
Robert Irvine
11 Mudie Ave,
Sunbury, 3429, Australia
Name:_______________________________________________
Address______________________________________________
Town/Suburb_______________ Postcode_________
Telephone (Home)________________ (work)_______________
E-mail _____________________________________________
Membership is for a period of one year, from 1July to 30 June.