INTERNATIONAL STATIONARY STEAM ENGINE SOCIETY

Australian Membership Application

Please enter your name and address information.

Name:

Address:

City:

State Australia

Postal Code

Please check the category of membership that you desire.

 WITH JOURNAL  WITHOUT JOURNAL
 A65 Regular Membership  $A45 Regular Membership
 $A60 Reduced (Senior/Student)  $A41 Reduced (Senior/Student)

Please print your completed form and mail with your check to:

Australian Membership Secretary

Mr. Owen Peake

GPO Box 1781, Darwin

Northern Territory, Australia 0801

Please Note: Because the I.S.S.E.S Bulletin is printed in the UK, several weeks may elapse before you receive your first issue. You have not been forgotten.

To clear the form press

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