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APPLICATION FOR MEMBERSHIP TO CLAN FRASER SOCIETY OF AUSTRALIA

Annual fees for membership of the society are $12 per single member and $15 per couple for each year July 1 to June 30. (children are included on both family and single memberships, but have no voting rights.)

Please print form below and post with your payment to the appropriate state address.

Alternately you can E-mail us and we will send you an application form.

Title

Surname

First name/s

Single

Family Spouse's Name

E-mail

No Street

Town

State PostCode

Phone Number

Send form and payment to

N.S.W.
J Fraser-Byass
122/85 Bakers lane
KEMPS CREEK 2178
QLD
L Fraser
P.O. Box 846
BUNDABERG 4670
TAS
D Walter
34 Hillborough Rd
STH. HOBART 7004
VIC
D Chitts
8 Ferndale Ave
UPWEY 3158

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