Australian Reforming Catholics


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     Membership Application/Renewal

Annual Subscription(from1 July to 30 June):$30 p.a.
Concession:$20 p.a. for Religious & Pensioners (NOT Seniors)

Renewal  YES/NO            New Member  YES/NO

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

Address    ................................................................................................................................................................................................

           ........................................................................................................................................................Postcode.........................

Telephone  (.....)....................................................................Mobile............................................

Fax              (.....)....................................................................Email..............................................


Subscription $..............................   (Payment can be made by cheque, money order, cash or by direct
Donation (always welcome) $.............................   deposit to ARC's Westpac Account BSB 032-089 Account No 14-7944
Total: $.............................   Record your name at the bank and let us know)


Would you like to share in the work for ARC in any way?             YES/NO. If yes, please let us know what you want to do


Send to: ARC c/- Rob Brian,
28 Lancaster Road, Dover Heights NSW, 2030
rbrian@vtown.com.au



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