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 [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