Wavlink Inc - Online Membership Form

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Online Membership Form

Wavlink Inc Membership Online Form

Wavlink Supporting Membership Form

A Supporting Membership entitles you to receive the Wavlink Inc. quarterly newsletter, Our House plus invitations to special events. Your support will assist in the development of further programs and opportunities for people with a disability. You can sign up for 1 year, 2 yeawrs or as a Life member. Supporting membership is only $20 per annum or $38 for two years. Concession and family rates are also available.

PLEASE NOTE: All donations to Wavlink are fully tax deductible. Thank you for supporting Wavlink to assist people with special needs.

Please include all the relevant information:

*Tick the box that applies to you:	Cost
Supporting Membership-1 year	$20.00
Supporting Membership-2 years	$38.00
Supporting Membership-Pensioner/Student Concession 1 year	$15.00
Supporting Membership-Pensioner/Student Concession 2 years	$25.00
Supporting Membership-Family 1 year	$40.00
Supporting Membership-Family 2 years	$75.00
Supporting Membership-Life Member	$1000.00

I would like to also donate: $
TOTAL: $

*Please tick one

I wish to receive the Wavlink newsletter, Our house and other notices by post

I wish to receive the Wavlink newsletter, Our house and other notices by Email:

Method of Payment

Cheque
Post to our Address

Cash
Pay in Person

Direct Credit
      BSB: 013 326
      Account No: 302721487
      and state your name please

Name
Address
Phone
Email

36 Myrtle Street Glen Waverley VIC 3150

ABN: 46 880 814 368
Registered No: 6574

Phone: (03) 9561 7140 Fax: (03) 9561 2388

Email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Website: www.wavlink.org.au