KIEWA VALLEY HISTORICAL SOCIETY INC. 
    MEMBERSHIP APPLICATION 2014

    Family Name: .....................................................................
    Given Name: ....................................................................
    Postal Address: .................................................................
    Town: ......................................... Postcode: .............
    Phone - Home: ..................... Work: ..................... Mobile: ....................... 

    Email: .............................................................................

    Membership Category:

    Individual $20.00

    Couple $30.00

    Student $10.00

    Corporate $50.00

    Pensioners 10% discount on above fees.

    In the event of my admission as a member, I agree to be bound by the rules and by-laws of the society from time-to-time in force as developed by the committee.

    ...................................................................................................................... (Signature of Applicant)                                              (Date)

    Further enquiries and/or send this completed form along with payment to:

    The Secretary
    KVHS Inc.
    PO Box 184
    Mt Beauty, Vic, 3699

    (or contact Helen on 03 57541323)

    Please make cheques payable to Kiewa Valley Historical Society Inc., or direct deposit to Bendigo Bank, BSB 633-108, Acct No. 1388 15394, Kiewa Valley Historical Society Inc.

    Kiewa Valley Historical Society Inc.(KVHS) is an affiliated group of the Royal Historical Society of Victoria (www.historyvictoria.org.au) and is insured through that affiliation.

     

PO box 184 Mount Beauty, vic 3699