Australian Museum Members - Membership form

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Friends package
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Contacting Australian Museum Members

To join Australian Museum Members, please fill in, print and mail or fax (credit card only) this form to:

Australian Museum Members
'Membership form'
6 College Street
Sydney NSW 2010
Fax: 02 9320 6051


Title:
First Name:
Surname:
Your Email:
Address:
Suburb:
State:
Post Code:
Daytime phone:
Mobile:
Fax:

(All rates include GST, where appropriate)

	Friends package	One year	Two years
	Single membership	$70	$135
	Family membership (Two adults and children under 18)	$88	$170
	Dual membership (Two adults at the same address)	$88	$170
	Pensioner (Does not include Seniors Card)	$52	$100
	Full time student	$52	$100
	Distance Single	$60	$115
	Distance Family	$78	$150
Pensioner number or Full time student number

Other packages	One year	Two years
Guest entry package	$155	$300
Events package	$285	$555
Preview package	$565	$1,100
Premier package	$1,030	$2,010

Payment method
	I enclose a cheque for (payable to Australian Museum Members)
Or...
	Please charge to my:
	American Express Mastercard Visa Bankcard
Expiry (mmyy) Name on credit card: Signature of Cardholder: ____________________________________ Details will not be sent over the Internet. This form is for printing only - please fill in the details by hand.

The information gathered on this form will only be used for the purpose specified by this form. For further information, read the Australian Museum Privacy Statement.