Membership Application Form

Just copy and paste form to print.  
Coffs Harbour Garden Club
PO Box 885, Coffs Harbour 2450
www.coffsgardenclub.com
                                        
Membership Application Form

Name: .............................................................................

Address: ..........................................................................

...................................................Postcode: ..................

Telephone No: .................................................................

Mobile: .............................................................................

Email: ..........................................................................

Birthday Month: ..............................................................

Any Special Interests: ......................................................

..........................................................................................



Annual Membership only $15.00





Name Tag $8.00  (please circle)     Yes                 No

Bank details for fund transfer is:
Westpac Bank
BSB. 032-585
Account Number. 233729
Account Name. Coffs Harbour Garden Club Inc.


Further enquiries:

Phone: Maria: 6656 2429 or 0418 695 113
Email:  coffsharbourgardenclub@gmail.com
Please submit to Treasurer for processing.                                                                           updated Jul 2019

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