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Arthritis Tasmania Membership form

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Arthritis Tasmania Membership form

Please complete this form, print and mail it to us together with your cheque, money order or completed credit card authority to:

Arthritis Tasmania
127 Argyle Street
Hobart
Tasmania 7000
Australia

Your membership is greatly appreciated and a letter of acknowledgement and receipt will be provided.

Name (in full)
Address
Post Code
Contact Phone
Email
Type of arthritis
Type of Membership Subscription Required

Individual membership $28
Concession membership $10
Life membership $330
Professional membership $33
Organisational membership $110

Please PRINT AND MAIL this form as detailed above.

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This page was last modified on Tuesday, June 24, 2008

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