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CiviCRM
Associate Individual Membership
Associate Individual Membership
Membership Options
*
Associate - Individuals
-
$ 330.00
(includes GST of $ 30.00)
Associate - Individuals (Concession)
-
$ 110.00
(includes GST of $ 10.00)
Total Amount
Email Address
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Account Contact Details
First Name
*
Last Name
*
Phone Number
*
Job Title
*
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
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Country
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Australia
State/Province
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Brief Statement
Why would you like to be an Associate Member of the VLGA?
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