ALL INFORMATION CONTAINED ON THIS WEBSITE IS AUTHORISED, PRINTED & PUBLISHED BY PHILIP BENWELL, P O BOX 1068, DOUBLE BAY 1360, AUSTRALIA

            

 

Australian Monarchist League
P.O. Box 1068, DOUBLE BAY  NSW  1360
Message Centre/Fax: (02) 9328 6274

 secretary@monarchist.org.au

 

About UsHOMEOfficers & Patrons

 

 WARNING
THE RECENTLY INCORPORATED COMPANY CALLED 'THE INTERNATIONAL MONARCHIST LEAGUE IN AUSTRALIA LTD'
 HAS NO CONNECTION WHATSOEVER TO THE AUSTRALIAN MONARCHIST LEAGUE
WHICH IS ALSO REGISTERED AS 'THE MONARCHIST LEAGUE IN AUSTRALIA'

Membership & Contribution Form

& Products

To apply for membership of The Australian Monarchist League or to make a contribution,  please complete the following details and press the 'submit' button or copy the form and fax or mail it to us with credit card details or cheque (made payable to The Australian Monarchist League) to the address provided at the end of the form.  If for some reason the 'send' button does not transmit, please copy the form and paste it onto an email and send it to: <monarchy@westnet.com.au> or fax to 61 2 9328 6274

DETAILS OF MEMBERSHIP

For new members we offer a special six months ‘trial’ membership without any charge or obligation whatsoever.

Please indicate which category of membership you are applying for:

 

DESCRIPTION
$00.00 (Trial)

$30.00 (Basic)

$500.00 (Life)

$15.00 (Student)

$15.00 (Pensioner)

DETAILS OF CONTRIBUTION

I do not wish to join but wish to contribute the following amount towards your activities:

$

25.00

$

50.00

$

100.00

Other amount

$

CREDIT CARD DETAILS

Total amount charged

Credit Card

Cardholder Name

Card Number

Expiration Date

PERSONAL INFORMATION

Name

Title

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

Fax

E-mail

PRODUCTS

PLEASE FAX THIS PART OF THE FORM TO 61 2 9328 6274