APPLICATION FOR MEMBERSHIP
                       ==========================

        I wish to become a member of the Jane Austen Society 
        of Melbourne Inc. ABN 80 025 064 214

        NAME (Dr/Mr/Mrs/Miss/Ms).............................
        .....................................................
        Address..............................................
        .....................................................
        ............................Postcode.................
        Telephone Number.....................................
        Email................................................

        In the event of my admission as a member of the Jane
        Austen Society of Melbourne, I agree to be bound by
        the rules of the Society for the time being in force.
        I enclose cheque/cash for $..........................
        Signature ...........................................
        Date ................................................

        Please make cheque payable to the Jane Austen Society
        of Melbourne and send it with this form to:
        The Treasurer, JASM,
        52 Panoramic Drive,
        NORTH BALWYN, VIC 3104

        Subscriptions: Ordinary membership ...........$30.00
                       Concession membership .........$25.00
                       Family membership .............$40.00


        http://home.vicnet.net.au/~janeaust/welcome.htm
        and jaform.txt of 16th November, 2001.