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ONLINE FULL MEMBERSHIP APPLICATION

 

Please complete the below online application to become a full member of the Royal Australian Artillery Historical Company then press Submit and you will be taken to our secure online Credit Card/PayPal webpage to complete your membership application.

New members are requested to complete all fields on the form below. Those member's renewing their membership are requested to fill in only those fields notated with an asterix ( * ) unless your contact details have changed in which case you are requested to provide the updated information in the appropriate fields.

       
Rank/Title:
Surname:*
Given Names:*
Post Nominals:
Mailing Address:
Phone Number:
Mobile Number:
Fax Number:
Email Address:*
Membership Period:*
Additional Comments:
 
 

 

 
 
       
         
 

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