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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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