Joining One Fire


 If you would like to join GOFRG Inc. please print this page and forward

Geelong One Fire Reconciliation Group Inc.
MEMBERSHIP FORM

P.O. Box 7046
Geelong West, Vic 3218
ABN 79 102 252 830
Inc . No. A0037242T


Annual subscription:       $20

Donation:                            $

TOTAL payment:                $   


NAME:

ADDRESS:


POST CODE:


PHONE:

EMAIL:


DATE:


If you wish to pay by direct transfer please use the following bank details, and then email this form as a record for the Treasurer. You will then be sent a receipt.
Bendigo Bank
                   BSB:  633 000
                   Account Number:  138 666 672
Please enter your name in the reference section so we can trace all payments.