Note the form below can also be printed, filled in and mailed to:
Perth Modernian Society Inc., c/o Perth Modern School, 90 Roberts Road, Subiaco, WA 6008 AUSTRALIA
(or Fax to (08) 9380 0550).
BIOGRAPHICAL INFORMATION is sought for inclusion in the archives of the Historical and Museum Committee to facilitate enquiries by former students and staff, family members and other approved researchers.
If you have not already done so please register with the Society using the online Membership Form.
This will enable you to receive our eNewsletter and (for Contributing Members) our magazine "The Perth Modernian ".
Please note: Completion of details marked with a double asterisk ** will be considered permission to publish.