Membership Registration Form — Camellias Victoria Inc.

Thank you for your interest in joining Camellias Victoria Inc!

Please fill in the form below and direct deposit the relevant fee to secure your subscription.

$30 Single
$35 Family and Garden Club

Please Direct Deposit amount to:
Camellias Victoria Inc.
Bank of Bendigo
BSB 633/000
Acc. No. 117666883

Payment can also be made by cheque to Camellias Victoria and forwarded to Sue Donohue, 20 Pippin Avenue, Glen Waverley, Vic. 3150.

* Receipts will not be sent out unless requested. S.A.E. please.

Name

First Name

Last Name

Address

Phone Number

Membership Type

Single ($30)

Family and Garden Club ($35)

How would you like to receive your Newsletter?

By email only.

I would like my Newsletter posted.

I will be making payment by

Direct banking

Cheque

Cash at a meeting