Application for Western Australia Membership

If you would like to become a Member, please fill out the following application, and press Print Page. After you have done this, please sign and send it with an enclosed cheque or money order to:

The Secretary,
The Australian National Flag Association – Western Australia (Inc.)
Postal Address: PO Box 7603 Cloisters Square, Perth WA 6850
Telephone: (08) 9321 7406
Fax: (08) 9321 7007

The prices for membership are as follows:

Ordinary Membership $15.00
Pensioner, Student Membership $10.00
Family Membership $20.00
Full Name:
Address:
Post Code:
Telephone:
Fax:
Email Address:
Membership Category:
Signature: _____________________________________
Date: __________________