Joining Online Application & Payment First Name Last Name Full Mailing Address Email Address Telephone Number Contact Method Email SMS Telephone No preference Preferred Contact Time(Please indicate a time we can make contact that best suits you) Any time is convenient Weekdays Only Weekends Only Only Call after 6pm Only call before 9am Business hours only Type of Membership(Please indicate which type of membership you are interested in) Single Membership with newsletter emailed- $10 Number of memberships with newsletter emailed required Single Membership with newsletter posted - $22 Number of memberships with newsletter posted required Address for Newsletter Postage Additional members at the same address of existing member - $10 Number of additional members required Name of additional Members Email addresses for additional members Comments Payment Methods Bank Transfer Cheque or Money Order Bank Transfer to: Name: Hawkesbury Herpetological Society Inc. Bank: ANZ BSB: 012-836 Account: 181544487 (List reference above in Comments) Cheque or Money Order to be sent to: Hawkesbury Herpetological Society Inc. PO Box 680 Penrith BC NSW 2751 (Specify name on the cheque / money order to link to the application above in Comments)
