MPG Membership Application

Melbourne Practica Group is a not for profit community group.

Membership fees can be paid in cash at the next practica or directly into our bank account -
Melbourne Practica Group Inc, Bank Australia, BSB 313 140, Acc No; 12035760

As an Incorporated Association we are required by Consumer Affairs Victoria to keep a register of members with contact details. These will not be disclosed to anyone outside the committee and will not be used for any purpose other than contacting you on MPG matters, in case your email fails (e.g. membership renewals, invites to the annual general meeting). Any member may obtain a list of names of other members but not their contact details.

Thank you.

First Name *
Your answer
Surname *
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Email *
Your answer
Street and/or Suburb Address *
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Phone *
Your answer
Payment *
Payment Options *
Do you want to receive regular email updates? *
Do you wish to volunteer to assist with running our Practicas?
Your answer
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