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Please print out this page and mail to -
156 Great Western Highway, Hazelbrook NSW 2779
Fees - Single $10; Dual $14; Associate (Outside NSW) $10.00; Junior (no newsletter) $1
Name:_______________________________________________________________
Address:_______________________________________________________________
_______________________________________________________________
Phone: ______________________________Prefix:__________________________
Nominated by:________________________________________________
Seconded by:________________________________________________
Signed: _________________________________________Date:__________________
All memberships are due 30th June each year
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