Membership Form
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Application Type:
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New Registered Membership
New Contributing Member
Change Membership Details
4 Year Contributing Payment of $120 ($80 for Year 12 Graduates):
No payment - Registered Member
Cheque mailed to above address
via PayPal on Membership Page
via EFT Direct Credit
Family Name Now:
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Family Name at School:
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Given Names:
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Preferred Name:
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Title (eg. Mr, Dr):
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Postal Address Line 1:
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Postal Address Line 2:
Town/Suburb:
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Post Code:
Country (if not Australia):
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Home Phone:
Work Phone:
Fax Number:
Mobile Phone:
Email Address:
Partner's/Spouse's Name:
Year Attended PMS Yr1(8):
Year Attended PMS Yr2(9):
Year Attended PMS Yr3(10):
Year Attended PMS Yr4(11):
Year Attended PMS Yr5(12):
Years on Staff 1st Appointment:
Years on Staff 2nd Appointment:
Years on Staff 3rd Appointment:
Website/URL