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Friends of the Koalas Inc.

Friends of the Koalas Inc. Annual Membership Form

Surname:

First name/s:

Address:

 

Cheque/money order to the value of $................. enclosed. (Please make cheques and money orders payable to Friends of the Koalas Inc. Please use Australian dollars.) Subscriptions are due as from the 1st of January each year.

Type of membership required (circle one):

Family - A$25 (Up to 2 adults & 2 children 15 yrs  and under)

Single person - A$15
Corporate - over A$50

Concession - A$10 (Australian Pension Card holders)
Supporting - over A$25

For office use only  

Receipt issued
Date

Membership no.
Date

Donations to Friends of the Koalas enables us to continue our vital work. Payments of $2.00 & over are tax deductable.

Mail this form to:

Membership Secretary
Friends of the Koalas Inc.
PO Box 231
Cowes V 3922

 

 

Site last updated Spring 2011. © Friends of the Koalas