BEECROFT CHELTENHAM CIVIC TRUST
Membership Application Form
Annual Subscription Rates (Calendar Year): Household $ 20.00 Pensioner/Single resident $10.00

Mailing Details: (please print)

(1) Title ……….... Initials ………….….. Surname…………………………………….

(1) Title ……….... Initials ………….….. Surname…………………………………….

Address………………………………………………………………………………….......

……………………………………………………….…………………………………..........

Telephone …………………………. Email ………………………………………….....

*Post Cheque or Postal Order to :- The Treasurer, PO Box 31, BEECROFT, 2119
Cheques are to be made out to Beecroft Cheltenham Civic Trust Inc. Receipts will not be issued except for cash payments.

*Make a deposit in bank:
Commonwealth Bank: BSB 062113 Account Number 10068238

*Electronic Funds transfer (EFT) from your bank account:
Commonwealth Bank: BSB 062113 Account Number 10068238

Cheques can be sent to PO Box 31 Beecroft NSW 2119


Thank you for your support.

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