2009 Membership Dues
Types of Membership
Family $30.00
Couple (no children) $25.00
Individual $20.00
Student $15.00
Thank you for your continued support.
2009 Membership Dues
Name(s):
________________________________________________________________
Address:_________________________________________________________________
________________________________________________________________________
City__________________________________ State
_______ Zip Code:_____________
Telephone
#:_______________________________________________________________
Email:____________________________________________________________________
Please tick to consent to your email and mailing
address
being shared with other ANZAA members?
______ yes ______ no
How do you prefer us to contact you with
information about events, news etc ?
______ by post (default if no email given)
______ by email