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1 organisation details
2 contact details
3 payment details

Organisation Membership Form

Complete this form to become a member or to renew your membership of the History Council of NSW.

Prefer to set up a recurring subscription for your membership? Click here.

What type of organisation are you?

Organisation Details

Organisation Nameyour full name
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Address
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Websiteyour full name
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Why are you joining/renewing with us?
Other reason for joining/renewing?more details
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Primary Contact Details

Please enter the details of the person at your organisation who will be responsible for the membership. 

Please note: the primary contact will receive all email correspondence relating to the membership.

First Name (Primary Contact)your full name
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Last Name (Primary Contact)your full name
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Job Title (Primary Contact)your full name
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Telephone Number (Primary Contact)your full name
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Subscribe to our newsletter
Billing Contact (optional)
First Name (Billing Contact)your full name
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Last Name (Billing Contact)your full name
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Job Title (Billing Contact)your full name
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Telephone Number (Billing Contact)your full name
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Payment Details
AUD $[field5]
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Apply

Invoice for Membership

We will email you an invoice including payment details after you submit this form.

NOTE: 

Please ensure that you submit the form below so we can process your membership application and invoice you.

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