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APPLICATION FOR MEMBERSHIP

Full Name :
 
Forum Username :
(if known)
 
Email :
 
Address :
 
City/Suburb :
 
State :
 
Country :
 
Post/Zipcode :
 
Phone :
 
Fax :
 

Declaration

I hereby submit my application for membership and undertake, if accepted, to abide by the rules
of the Association and to pay annual subscriptions by the date prescribed.

Signature :
(type your full name)
 
Date :
 


 

For 2006: Annual subscription $25 ($35 outside Australia). Includes Association Newsletter
every 3 months, Association Journal every 12 months, and exclusive access to member-only
areas of the Association’s online forum.

Payment in Australian dollars is required with application, and may be made by Australia
Post MONEY ORDER, CHEQUE (made payable to the Australian Tarantula Association),
DIRECT DEPOSIT, or PAYPAL (email will be sent with details & instructions).

I wish to pay by:
 
Money Order Cheque Direct Deposit Paypal

 

 

Any other comments?

 

 

 

 

 

 

 

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