JOIN

APPLICATION FOR MEMBERSHIP

Membership is open to any person of Lebanese ancestry and their families or any person with an interest in the history of Lebanese in Australia and who support the objectives of the Society.

To learn more about the objectives of the ALHS visit its website at www.alhs.org.au


Please print
Preferred title (Please circle): Mr Mrs Ms Dr Other ______________________
First Name__________________________ Surname _________________________________
Address: ______________________________________________________________________________
______________________________________________________________________________
Postal Address: __________________________________________________________________________
______________________________________________________________________________
Preferred phone contact: ______________________________________________
Email: ______________________________________________________________________________
Signature: _____________________________________ Date: _____________________


MEMBERSHIP FEES
For a New Member to join:
Initial Joining Fee $30, plus First Year Subscription $30 = Total $60
(Thereafter the Annual Membership subscription is $30 per person payable from 1st Nov. each year)


METHOD OF PAYMENT (Please tick)
 I am including a cheque for $60 being for membership of the ALHS.
Please make cheques payable to: Australian Lebanese Historical Society Inc.

OR

 I have made a Direct Debit (EFT) of $60 to:
BSB: 032152
ACCOUNT NO: 134813
ACCOUNT NAME: Australian Lebanese Historical Society Inc.
REFERENCE: (Your Surname) NMEM
Please email the details of EFT payment with your NAME and contact details to the ALHS Treasurer at mail@alhs.org.au


 I am including a donation to the ALHS Cultural Fund: $ _______________
(As donations are tax deductible a separate receipt will be issued; however, the donation can be included with membership payment in one cheque or transfer)


Post the completed form to:
Treasurer, Australian Lebanese Historical Society Inc.
P.O. Box 342 Coogee NSW 2034
OR Scan completed form and Email it to the ALHS Treasurer at mail@alhs.org.au
THANK YOU

ABN 61 412 108 216 – All fees include GST