ADFAS Tamworth Region
2019 Annual Membership and Renewal Form
First Name:
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Surname:
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Address:
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Phone:
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Email:
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Compliance with the Privacy Act: I consent to have my name and contact details added to the ADFAS data base, and for them to be used to provide information to me on ADFAS lectures and news.
Annual Membership 2018:
Grace Cochrane - Saturday 15 June $30
Colin Davis - Saturday 14 September $40
Payment Options:
BSB: 932 000 Account Number: 747921
Ref: Please insert your last name and initial
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