Friends of the Cathedral: Application Form

PLEASE SELECT A CATEGORY OF MEMBERSHIP (tick selection)
(...) 5 year Member ($80)
(...) Annual Member - Personal ($20)
(...) Annual Member - Family ($25)
(...) Annual Member - Student (under 18 years) ($10)
(...) Annual Member - Parish, School or Corporate ($30)

Payment (tick selection)
For above membership, please find enclosed $_________
(...) Cheque -- (...) Money Order -- (...) Cash

Prefix (tick selection)
(...) Mr
--(...) Mrs -- (...) Miss -- (...) Ms
(...) Dr
-- (...) The Rev'd

Name ____________________________________________________

Address __________________________________________________

_________________________________________________________

______________________________________ Postcode ___________

Phone ____________________________________________________

Email ____________________________________________________


Please print off and return to:
Membership Secretary
The Friends of St. Saviour's Cathedral
PO Box 205
Goulburn NSW 2580