Membership is $10.00 per calendar year, payable before the AGM in March. Please make cheques payable to Carlton Community History Group Inc.
| Name: | |
| Address: | |
| Suburb: | |
| Postcode: | |
| Email: | |
| Phone (Home): | |
| Phone (BH): | |
| Special Interests (Optional): | |
Forward completed membership form and cheque to:
Carlton Community History Group
PO Box 148
North Carlton Vic 3054