FRIENDS OF ORGAN PIPES NATIONAL PARK INC. MEMBERSHIP APPLICATION/RENEWAL

Please forward this form with $12 (cheque or money order payable to Friends of the Organ Pipes National Park), to the treasurer:

Robert Irvine
11 Mudie Ave,
Sunbury, 3429, Australia

 

Name:_______________________________________________

Address______________________________________________

Town/Suburb_______________ Postcode_________

 
Telephone (Home)________________ (work)_______________

E-mail _____________________________________________

Membership is for a period of one year, from 1July to 30 June.