Chermside & Districts Historical Society Membership Form
  • Single person: $20/year
  • Family: $30/year
  • Corporate: $30/year
  • Non-attending member (receives bi-monthly newsletter): $20/year
Name *
Email *
Address *
Phone number
Choose your yearly membership type: *
Payment

Please direct deposit your membership fee to finalise your membership and reference your name in the transaction. A receipt will be provided once the funds have been received.

CDHS bank details:
BSB: 638070
Account: 6774091
Reference: your name

I hereby agree to abide by the rules of the Society and to support the objectives of the Society. *
Additional information
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report