Membership

ANNUAL MEMBERSHIP FORM: JULY 2008 - JUNE 2009

MEMBERSHIP FEES :

Family: $30 ; Single: $20 ; Full-Time Students: $10

Please click on the Submit button to submit the form details.

Existing Members, please click here to update your latest email id

*indicates required fields

*Type of Memship:

Family $30
Single $20
F/T Students $10

*Title:

*Name:

*Surname:

*Spouse's Name:

*Spouse's Surname:

*Street Address::

*Suburb:

*State/Territory:

*Post Code:

*Phone (Home):

Phone (Work):

*Mobile No.:

*Email ID:

Special Interests:

To send this form by post, please DOWNLOAD MEMBERSHIP FORM from here, and send it to :-

The Bengali Association of Victoria Inc.

PO Box 1332, Glen Waverley, VIC 3150

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