Membership Form

ABN 58 756 565 039 © Suncoast Clayworkers February 2022

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Membership Application

Please complete this form and submit. Please ensure that the status of membership is checked i.e. renewal or new member.

Membership commences from February 1st of each calendar year and is valid for 12 months.

Cost of New Membership $30 Cost for Renewal of membership $25

Membership Application

First Name

Surname

Address 1

Address 2

City

State

Postal Code

Member

Payment Method

Telephone

All payments must be made to the new account details below. Please remember to include your name and a reference. e.g. membership with your payment.

Direct Deposit: Suncoast Clayworkers Assn Inc

Heritage Bank BSB: 638 070 ACCOUNT NO: 16482042

IF YOU WISH TO PAY BY CREDIT CARD PLEASE RING OUR SECRETARY ON 0417 635 807 TO MAINTAIN THE SECURITY OF YOUR INFORMATION AND A RECEIPT WILL BE FORWARDED TO YOU IMMEDIATELY.

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