The C J La Trobe Society


Gift membership

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.

    Gift Membership application

    Your Name*

    Your Email Address*

    Friend's Name(s)*

    Friend's address*

    Friend's telephone*

    Friend's Email*

    Select type of membership*
    Single - $55Family - $85

    Select payment method*
    EFTChequeOther (add comment)

    Comment

    Prove you are human quiz: what does 4 + 2 equal?

    Please make your payment:
      ●  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.

    * Required