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Centenary and District
Environment Action
Caring for our environment
Membership application / renewal
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Home
Local bushcare Groups
Guest Speakers
Other interesting websites
Photo gallery
Downloads
Contact us
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CDEA Membership Application / Subscription Renewal
Period 1 July 2022 to 30 June 2023
Payment options:
Complete the form below then mail your payment to CDEA Membership, PO Box 432, Mount Ommaney QLD 4074
Complete the form below then direct deposit your payment to: Centenary and District Environment Action. BSB 034-108 Account 31-8999. Include your initial and family name in the description
If you prefer to download and print a copy of the form
please click here
. Bring the completed form with you and pay the Treasurer at our next quarterly meeting.
Membership class:
*
Household $15
Household $15
Individual $10
Individual $10
Concession (pensioner, unemployed) $5
Concession (pensioner, unemployed) $5
1. Given Name
*
Last Name
*
Address
*
Postcode
*
Landline phone
OR Mobile
Email
*
2. Given Name
Last Name
Email
3. Given Name
Last Name
Email
4. Given Name
Last Name
Email
I will pay by the following method:
*
Banking and mailing details are at the top of this form. They will also be emailed to you when you submit the form
Direct deposit (banking details shown above)
Direct deposit (banking details shown above)
By mail
By mail
Submit