• The Secretary, RVRA NSW PO Box 3349 ASQUITH NSW 2077

Online Membership Application

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Become a Member of RVRA

For ONLINE application the appropriate fee must be paid by Electronic Funds Transfer to:
RVRA Inc – BSB: 082 620 – Account No: 049374855
with your Surname as Reference. Please send an email to admin@rvra.org.au advising of your remittance.

Please read our Privacy Statement.

Personal Information:

Title* (required)

MrMrsMsMissDrOther

First Name* (required)

Last Name* (required)

Your Village* (required)

Address*


Fixed incl area code

Phone

Other Phone

Email*

PARTNER NAME for second person (if Joint/Couple Membership):

First Name* (required)

Last Name* (required)

Membership Type*

YEARLY Single $25 p.a.YEARLY Joint/Couple $32 p.a.ASSOCIATE Single $25 p.a.ONE-OFF JOINING FEE $10

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