Complete the form below, print it and either pay at the Library or send it, with your cheque to:
The Treasurer FOGLLS P O Box 726 FORSTER NSW 2428 AUSTRALIA
Membership: 1 year $10.00 (AUD) or 3 years $30.00 (AUD)
I wish to join FOGLLS and enclose a cheque/cash for $
Signature................................................. Date:........................
Name Title Street Address Address (cont.) City State Postal Code Country Work Phone Home Phone FAX E-mail
