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The Twentieth Century Heritage Society of NSW
MEMBERSHIP
APPLICATION or RENEWAL
Individual $45; Concession $25; Household $65; Household concession
$35;
GST exempt.
If you have any questions about which category applies to you please
call or email us before sending your payment.
Renewal is due on 31 January every
year.

Pay with your VISA or Mastercard
via PayPal.
New Members: When you join, it would help us if
you could email or post us this completed application form
once you have paid online with PayPal.
Existing members: there is no need to send this form
when renewing unless any of your details have changed.
Mr/Mrs/Ms/Other..................................................................
Name..................................................................................
Address..............................................................................
......................................................Postcode......................
State......................................Country.................................
Pension/Student No..............................................................
Phone Day..........................................................................
Evening..............................................................................
E-mail
...........................................................................
Mobile................................................................................
Occupation (optional) ..........................................................
Would you consider assisting the Committee in the
running of the Society? Yes / No / Perhaps
You can make an online payment with your VISA or MasterCard here. There
is no extra charge. Please select your membership type and payment
preference:
Amount due: $ ....................................................................
Signature...........................................................................
Date.................................................................................
Please print out this form, complete your details,
and attach your cheque.
Post to:
The Twentieth Century Heritage Society of NSW, Inc.
P.O. Box Q1072, QVB Post Office, Sydney NSW 1230, Australia.
Phone: + 61 (02) 9878 2511
NB:
For commercial or corporate membership, please complete the
Corporate
Membership form
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