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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.)

Type of membership required (circle one):

Family - A$25
Single adult - A$15
Corporate - over A$50

Concession - A$10
Student - A$10
Supporting - over A$25

For office use only  

Receipt issued
Date

Membership no.
Date

Mail this form to:

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

 

 

Site last updated Spring 2008. © Friends of the Koalas