Contact Us

    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:
    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 Enquiries@helleniclyceum.com.au

    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

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