PHILATELIC SOCIETY OF NSW MEMBERSHIP FORM

Please Print this form and mail to PO Box 525 Darlinghurst NSW 1300
 or fax (+61 2 9371 2502)
Australian and New Zealand Membership $20, Overseas $30
(Including the NSW Philatelist).
Cash or Check payment in Australian Dollars only.
If you are paying by credit card, you can  e-mail the Society including all details below. 
Please provide the following contact information:

Given name		Please select these options if required:
Family name				NSW Philatelist Only
Title				China Study group
Address		Please tell us about your collecting interests
Address (cont.)
City/Suburb
State/Province
Zip/Postal code
Country
Home Phone
FAX
E-mail

BILLING	Amount		Pay By Cash Check MasterCard BankCard VISA
Cardholder name
Card number		Exp date