MPG Membership Renewal
This form has been designed for existing MPG Members who wish to renew their membership

Melbourne Practica Group is a non-profit community group.

Membership fees are 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
If choosing this option use your surname as reference please, so we can update our records accordingly

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

Email address *
First Name *
Your answer
Surname *
Your answer
Email *
Your answer
Street and or Suburb Address *
Your answer
Phone *
Your answer
Payment *
Payment Options *
Do you wish to receive regular email updates *
Do you wish to volunteer to assist with running our events?
Do you wish to become a committee member?
Your answer
A copy of your responses will be emailed to the address you provided.
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