Please
print this form and send it with payment by snail mail!
Organisation
Name (if applicable)
__________________________________________
Contact
Details
Contact/Subscriber Name:
______________________________
Address:____________________________________________
City :_____________________________Postcode :
_________
Phone: (0_____) ___________________Mobile
:____________
Fax: (0_____) ___________________Email
address :_________
Enclosed is the 2005 fee*: (tick the
appropriate box)
CLUB AFFILIATION $25.00 (*$12.50 if applying after 30 June)
NEWSLETTER SUBSCRIPTION $15.00 (*$7.50 if applying after 30 June)
Cheques are to be made payable to:
THE
VICTORIAN AVICULTURAL COUNCIL
and
should be forwarded to:
The
Treasurer, Victorian Avicultural Council
P.O.
Box 405, KILMORE, Victoria 3764
FOR MORE SPECIFIC INFORMATION, WRITE TO THE SECRETARY AT THE SAME ADDRESS OR EMAIL hde-groo@bigpond.net.au
with
any concerns or inquiries.