Friends of the Prom Membership Form

Reg. no. A0032167S

Annual membership subscriptions

The current annual membership subscriptions are:

Single $15
Couple/ Family $20

New members pay the annual membership subscription at the time of joining. If joining later than Jan 31 your membership will be extended out to June 30 the following year. There is no separate joining fee.

Existing members need only pay to renew. Only if their details change, need they return this form.

Payment options: Bank transfer

Account name: Friends of the Prom Inc

BSB: 033 152

Account Number: 188795

Please include member’s full name for reference

Member Details

Member Class

Single $15

Couple/ Family $20

Donation $ (see Note)

* Note: Tax deductible donations can be made via Landcare Victoria. See next page for details.

Primary Contact

First name

Last name

Phone

Address

For couples or families

Provide member names and age for children

Yes, subscribe me to your newsletter.

By signing you agree to support Friends of the Prom Inc and abide by our rules. Rules can be found at https://friendsoftheprom.org.au/governance/

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