Gift Membership.

search the society and FOLTC web sites

If you would like to give a gift of a membership of the Society to a friend, either download a
gift membership application form and send it to the society, or complete the form below and submit.
Your friend will then receive this gift membership certificate.

Your name:	*
Your email:	*
Friend's name(s):	*
Friend's Address:	*
Telephone: Business:
Home:	*
Mobile:
Friend's email:	*
Membership category:	*
Payment method:	*

Leave this empty:

* required fields

EFT to BSB 033-018, Account No. 149584 (Please put your name on the EFT); or

Remit a cheque payable to 'The C J La Trobe Society Inc.' and post to
'The Treasurer, La Trobe Society, PO Box 65, Port Melbourne, Victoria 3207.

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