Membership

On-Line Membership Form

Membership is $50.00 per year for renewing members, due in March or $70 for new members ($50 if joining after September 1st). Please fill in the form below, selecting your payment method. Submit the form BEFORE payment. Electronic transfer of membership fee can be made to Bank SA Account No. 055367740 BSB 105026. Please use your membership number as a reference (if you are already a member) and quote ‘Membership Fee’. If you are a new member quote your ‘last name and initials’ as a reference. Payment can also be made by cheque and can be posted to PASA Treasurer, 10 Simone Crescent, Morphett Vale, SA 5162. Payments can also be made in person at a PASA Meeting.

Last Name

First Name

Membership Number ( If renewing)

Phone

Mobile

E-mail

Postal Address

Date of Application

Your message emergency contact information is required for occupational health and safety.

Emergency Contact Name

Emergency Contact Phone

Payment by Bank Transfer. Use your Surname as a reference.

Payment in person at a PASA Meeting

Payment by cheque

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On-Line Membership Form