The Twentieth Century Heritage Society of NSW

MEMBERSHIP APPLICATION or RENEWAL

Individual $45; Concession $25; Household $65; Household concession $35;
GST exempt. Payment by cheque or online with a credit card.

If you have any questions about which category applies to you please call or email us before sending your payment.

Pay by cheque or with your VISA or Mastercard via PayPal.

New Members: When you join, it would help us if you could email or post us this completed application form once you have paid online with PayPal.

Existing members: there is no need to send this form when renewing unless any of your details have changed.

Mr/Mrs/Ms/Other..................................................................

Name..................................................................................

Address..............................................................................

......................................................Postcode......................

State......................................Country.................................

Pension/Student No..............................................................

Phone Day..........................................................................

Evening..............................................................................

E-mail ……...........................................................................

Mobile................................................................................

Occupation (optional) ..........................................................

Would you consider assisting the Committee in the
running of the Society? Yes / No / Perhaps

You can make an online payment with your VISA or MasterCard here. There is no extra charge. Please select your membership type and payment preference:

Annual Membership to the Twentieth Century Heritage Society of NSW.

Individual $45 Concession $25 Household $65 Household concession $35

.......................................................................................

If you prefer, make your payment by cheque:

Amount due: $ ....................................................................

Signature...........................................................................

Date.................................................................................

Please print out this form, complete your details, and attach your cheque.
Post to:
The Twentieth Century Heritage Society of NSW, Inc.
P.O. Box Q1072, QVB Post Office, Sydney NSW 1230, Australia.
Phone: + 61 (02) 9878 2511