|
|
The Application form, which must accompany payments from new members, lists current subscription rates.
Within Australia:
Outside Australia: Name: ............................................... Address: ............................................... ............................................... ............................................... Post Code: .................................... PLEASE COMPLETE CREDIT CARD AUTHORISATION [ ] BANKCARD [ ] VISA [ ] MASTERCARD Card number ............................................... Signature ............................................... Expiry date: ............................................... Name (as on card) ............................................... Street address ............................................... Suburb/town ............................................... Postcode ............................................... Country ............................................... Amount in $(AUD) ............................................... Signature ...............................................
© Copyright 1997-2006, The Malacological Society of Australasia Ltd, ACN 067 894 848 |