OzHPV Online Application for Membership

I agree to that by filling in and submitting this form I will abide by the rules (constitution and rules) of association of Oz HPV Incorporated.

I am a new member I am renewing my membership

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  • Please over type the above email with your own

DETAILS OF HPV (S):

Please choose from our list as many as you like/have.

Not on the list? Please include the following, NAME, Make, type and we will add it

My interests are:

I want to receive my huff by snail mail yes ( add $15 to your membership fee for printing and postage costs )

Direct deposit your membership fees into Oz HPV's bank account. NAB BSB: 082-902 Account Number: 686382698 Account Name: Oz HPV Inc

Membership fees

  1. Single $25.00
  2. Family $35.00
  3. International Single $25.00
  4. International Family $35.00

I HAVE MADE A DIRECT DEPOSIT ON: (insert date here)