On-line Membership Form

Membership Form - online version

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Central Blue Mountains Garden Club Inc.
Membership Application Form

Please hover your mouse over the ? (or tap) to reveal instructions if you need them.

There are two types of Membership -
1. Full Membership - $30 ( $25 annual subscription + $5 name badge)
2. Associate Membership - $5 to attend a single event, payable per day
(eg garden ramble, day bus trip)
Please indicate which type of membership you wish to apply for.

* Indicates required field

FULL OR ASSOCIATE MEMBERSHIP ? *

PREFERRED PAYMENT METHOD *

YOUR NAME *

First

Last

Email *

Address *

Phone number *

Emergency Contact Details of relative or close friend *

Special Interests in the Garden *

Would you like to receive the Newsletter ? *

How did you hear about us ? *

OFFICE USE ONLY *

Nominated by: *

Seconded by: *

Submit form