The Secretary,
Australian Hydrographers Association,
C/- 14 Kosciusko Street,
TRARALGON,
VICTORIA 3844
Dear Sir
I wish to Become a Member/Renew my Membership
of the Australian Hydrographers Association.
Name: __________________________________________
Address: ________________________________________
_________________________________________
Phone: __________________________________________
e-mail: __________________________________________
Employer: _______________________________________
Title: ___________________________________________
Address: ________________________________________
_________________________________________
Membership Grade: Member
($60 to end of Year 2001)
Retired/Student/Cadet
($40 to end of Year 2001)
Corporate
($300 to end of Year 2001)
I enclose $
.
I wish to receive my monthly Newsletters by e-mail/post/I
will down-load from the web site.
I wish to receive my Quarterly Newsletter at my Home/Work
Address.
Signed: ______________________________________________
Date Received ________________________ Member Number ____________