Membership renewal

Your Name*

Additional Name

Your Address if different this year

Your Telephone number if different this year

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Select type of membership*
Single - $55Family - $85

Select payment method*
EFTChequeOther (add comment)

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Prove you are human quiz: what does5 + 2 equal?

Please make your payment:
  ●  EFT to BSB 033-018, Account No. 149584 (Please put your name on the EFT); or
  ●  Remit a cheque payable to 'The C J La Trobe Society Inc.' and post to 'The Treasurer, La Trobe Society, PO Box 65, Port Melbourne, Victoria 3207.

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