Australian Museum Members

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Joining Australian Museum Members
Friends package
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Gift membership

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Current Program

Contacting Australian Museum Members

To give a membership with Australian Museum Members as a gift, please fill in, print and mail or fax (credit card only) this form to:

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

Name and address of recipient:
Title:
First name:
Surname:
Email:
Address:
Suburb:
State:
Post Code:
Daytime phone:
Mobile:
Fax:
Message for card:
Send new membership pack to:	me for forwarding recipient
Send renewals to:	me for forwarding recipient
Name and address of sender:
Title:
First Name:
Surname:
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

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.