MEMBERSHIPS - Finch Society WA

MEMBERSHIPS
Application or Renewal of Membership
To submit your application please complete the below form and
return to The Finch Society of Western Australia, PO BOX 2109
Wangara, WA, 6947.
Email applications also accepted. Scan copies to be sent to
[email protected]
New Member
Renewal
Membership Number:
For year:
Title:
First Name:
Surname:
Street:
City / Suburb:
Post / Zip Code:
Country:
Telephone:
State / Province:
Mobile:
Email:
By ticking this box I authorise the Finch Society of WA to send me information
via the email address supplied.
Subscriptions - (January 1st - December 31st)
Full Membership ................................................... $30.00
Overseas Membership ......................................... $50.00
Associate Membership ........................................ $5.00
Junior member (up to age 16) D.OB
FREE
Payment Details
Credit Card Type:
MasterCard
VISA
Bankcard
Credit Card Number:
Credit Card Name:
Expiry Date:
CSC Code:
/
(mm/yy)
(3-4 Digit security code on back of card)
All subscription rates are quoted in Australian Dollars. Processing of applications can take up to 14 days. All applications will be
considered at the next scheduled Committe meeting. Memberhip packs will be sent to the supplied postal address.
Payments must be made in Australian Dollars. The FSWA accepts payment via Mastercard, VISA, Bankcard or Direct Deposit.
Applications can also be made online by visiting www.finchsocietywa.com - Online Payment gateway - Paypal