Application for Membership Form

If you want to become a Member of the Australia Society and receive our Newsletter,
please fill out the form and submit it to our system.

Application for Membership

Surname:
Forenames:
Nationality:
Address :
Postal Code :		City :
Country :
Phone :		Fax :
Email :
Motivation & Personal details
Membership includes all family members. For our records please list your children's names and year of birth as well as nationalit(ies).

In order to cover postage costs and administrative expenses, there is a small annual subscription of Euro 20 per family for membership of the Australia Society in Belgium. This fee is payable in September each year and is valid until the end of August the following year. Please make a bank transfer to the Australia Society bank account, No 210-0369531-13, C/- David Demetrius, Treasurer, Luxor Park 14, 1160 Brussels. Please state your surname and "membership subscription" in the communication field of the virement form. Your membership will then be complete

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