Gifts or Fees – Individual Complete this form to let us know the details of payment you have made.Individual Renewal Δ CompanyThis field is for validation purposes and should be left unchanged.Date MM slash DD slash YYYY Membership Status(Required) New Member Membership RenewalName(Required) First Last Payment methods(Required) Cheque (Post to: The Secretary – CMA Vict, 368 Ben-warren Rd, Baddaginnie, Vic, 3670) Direct Deposit Payment with your name in the ‘Comments’ section BSB 633 000 Account 127 403 079Amount Paid(Required)
