On-line Membership Form

NOTE: This facillity is only for use with payments being made through the PayPal facility. All other payments must be made by completing the Membership Form and mailing it to our address, shown above or bringing it to one of our regular events.

Please complete all fields (if the apply) and press submit. You will be shown a page that lists what details you have entered. Press the "BACK" button on your browser to return to this page. Press the "RESET" button and then select the Membership Type you wish to pay. Select the "Add to Basket" button under the Membership Type you have chosen. If you select 'Concession', 'Country' or 'Organisational' you will be required to supply details through PayPal that entitle you to these discounted options.

Title First Name Last Name
Organisation
Address
Address
Suburb State Postcode
Work Ph : Home Ph:
Mobile: Occupation
Email
Where did you hear about the society?


Particular Interests
(please check what interests you)
Alchemy Archetypes Art Classic Jungian
Clinical Psycholgy Cultural Myth & Fairytale Religion
Sandplay Other

Payment Facility using PayPal (after you have submiited the above form).
       
Full
Concession
Country
Organisational
($50)
($25)
($25)
($25 each)
Please note: Organisational membership must be for a minimum of three nominations and details of each person must be submitted. The cost for three nominations is $75.

 

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