Abha membership form1

Title

First Name

Middle Name (if any)

Last Name

Mobile

Address: (Street, City, State, Postcode)

Membership Type (please see details in Section 2)

Family Individual Student

Membership Fees

Registration Date

Membership Fees

Family* Membership: $60/year

Individual Membership: $30/year

Student Membership: $30/year (provide valid student ID)

**Family: A couple with or without their children under 18 years of age.

***Student: A full-time student who is enrolled currently at an educational institution.

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Australian Bengali Hindu Association