| APPLY FOR BRITAIN-AUSTRALIA SOCIETY MEMBERSHIP NOW: | ||
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Please print and complete the following form and send with the Bankers’ Order form below.
Cheques are only accepted exceptionally.
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The National Director The Britain-Australia Society Swire House 59 Buckingham Gate London SW1E 6AJ | 
| 2008 |
THE BRITAIN-AUSTRALIA SOCIETY - INDIVIDUAL MEMBERSHIP APPLICATION FORM
(Subscription Rates and types of Membership are given below and relate only
to the London Branch)
NAME ........................................................................................... TYPE OF MEMBERSHIP ......................................
NAME OF PARTNER ..................................................................................................................................................
CONTACT ADDRESS .................................................................................................................................................
HOME TEL No ............................................................................... WORK TEL No .....................................................
MOBILE No .....................................................................................E-MAIL ADDRESS ............................................
OCCUPATION ...........................................................................................................................................................
DATE OF BIRTH ............................................................................. NATIONALITY ...................................................
CONNECTION WITH AUSTRALIA (IF ANY)
...............................................................................................................
DATE .............................. SIGNATURE .......................................................................
cut here
THE BRITAIN-AUSTRALIA SOCIETY - BANKER'S ORDER FORM
To: The Manager ...................................................................... Bank (name of bank)
............................................................................................................................................................................... (address)
Please pay to the credit of The Britain-Australia Society (Account No. 520.858.01) at the ANZ
Banking Group Ltd, 40 Bank Street, Canary Wharf, London E14 5EJ (Sort Code No. 60-92-75) the sum of .................................................................................................(words)
£..............................(figures)
upon receipt of this order and on 1st April each year until further notice.
Please note that this cancels all previous Banker' Orders in favour of the
Britain-Australia Society.
NAME .................................................................... ACCOUNT No ................................ SORT CODE...................
ADDRESS..............................................................................................................................................................
DATE ....................................................................... SIGNATURE ........................................................................
When completed this form should be sent to:- The National Director, The Britain-Australia Society, Swire House, 59 Buckingham Gate, London SW1E 6AJ.
TYPES OF MEMBERSHIP AND SUBSCRIPTIONS
Annual Subscriptions payable on 1st April by Bankers Order| Standard (resident in UK)
| £25.00
| Standard Combined (includes Partner)
| £35.00
| Senior (Over 65)
| £20.00
| Senior Combined (includes Partner)
| £30.00
| Overseas Member (mailings of news letters to Australia)
| £15.00
| Life Membership (single payment by cheque) Life Member (Under 70)
| £500.00
| Life Member (Over 70)
| £400.00
| Joint Life Member under 70(includes partner)
| £700.00
| Joint Life Member over 70(includes partner)
| £600.00
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