Print out this page and post this with your payment. Please pay by cheque or by electronic deposit to our bank account - email the Secretary on the address on the CONTACTS page for account details - be sure to include your name in the reference to appear on our statement. If paying by bank transfer, please be sure to complete and forward the short form below.
Cash payments can not be accepted.
The Membership Officer,
Alliance Francaise de la Cote de Saphir,
P.O. Box 3,
MERIMBULA 2548
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Alliance Francaise de la Cote de Saphir
Membership Application
NAME(S)
E-MAIL
ADDRESS
PHONE
SUBSCRIPTION (Please circle one)
FAMILY $40
SINGLE $ 25
SCHOOL $ 25
Our monthly newsletter, LA MOUETTE will be sent by email - please advise if this is not possible.
Merci!
