WIMA Victoria: Membership Form

Please print and complete this form and mail it, together with your payment (make cheques payable to WIMA Victoria) to:

WIMA Victoria
PO Box 376
Carnegie 3163

Membership Category - please indicate by ticking the appropriate lower box:

New Member Full Yr $30.00	New Member Half Yr $	Renewal $30.00

Receipt of Newsletter:

By Email	By Post

Please indicate if you can help with:

Committee	Newsletter	Photocopying	Accommodation	Other (please specify)