Contact Us postEmailMembership Donate / Sponsor/ Fund raising Email: [email protected] abn 90 393 792 173 application for membership / membership renewal application / renewal:(please circle one) SURNAME: GIVEN Name address postcode PHONE No (H) Mobile email:(Please tick box if you agree to receive all notifications and invitations via email) For new members only – your application must be endorsed by an existing member: Current Member Name & Signature: payment Please enclose $40.00 either by cheque or direct transfer being for the annual subscription. Please post this application form to the above address or email it to [email protected] I would like to pay by chequeDIRECT TRANSFER (Please use your name as reference) AMOUNT: $40.00 Bank: Delphi Bank BSB: 941-203 Account Number: 203227020 Account Name: Hellenic Lyceum date of transfer date signature Download Form work in progress