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Membership Form

Registered as an incorporated association in New South Wales No. Y 2713232

ABN 63-467161684

This form is also available as a [pdf]

Please either fill in the form below OR download this form and email to treasurer@canberragrapes.net.au
or mail to PO Box 172 Yass NSW 2582

Street or PO Box

Payment of $100 can be made to the Society’s bank account

BSB 112-908, Account no 491065924 or by cheque to the Society at PO Box 172 Yass, NSW.