Renew Membership Please enable JavaScript in your browser to complete this form.The Partners of Veterans Association of Australia Inc. ARBN 105-524-972 ABN 95-105-524-972 Patron: Lady Lynne Cosgrove MEMBERSHIP RENEWAL APPLICATION Personal Information collected by the Association is used at State and/or National level to provide services to members and all information collected is protected under the Federal Privacy Act, 1988 and the National Privacy Principles included in the Privacy Act Amendment 2000. What state are you renewing to? *--- Select Choice ---NSWVICQLDWASAACT/NTName: *Membership Number: *Email:Membership Year is 1st July to 30th June What years(s) are you renewing/paying for? *Annual Subscription: $25.00 Donation to State:Donation to National:TOTAL:Signature *Date: *Have Any Of Your Details Changed? Title: *MrMrsMsSurname/Family Name:First/Given Names: *Postal Address: *State:Postcode: *Phone Number: *Email: state By: Circumstances Have Your Circumstances Changed? Circumstances *War Widow with Gold CardWar Widow no Gold CardSeparatedDivorcedBecame a CarerCeased being a CarerNoRenewals to all State Branches may be paid via cash, cheque or Internet Banking See Below for Bank Accounts Details and Postal Addresses P.V.A. N.S.W. Membership Secretary PO Box 890 TWEED HEADS NSW 2485 nswmembership@pva.org.au BSB: 032-164 A/C: 155742 P.V.A. QLD. BRANCH Membership Secretary P.O. Box 98 LOWOOD QLD 4311 qldmembership@pva.org.au BSB: 034-272 A/C: 145188 W.A. BRANCH P.V.A Membership Secretary PO Box 2435 WARWICK WA 6024 wamembership@pva.org.au BSB: 633 -000 A/C: 226390557 P.V.A. S.A. BRANCH Membership Secretary PO Box 1367 C/- Legacy Club of SA ADELAIDE SA 5501 Sa.membership@pvasa.org.au BSB: 325-185 A/C: 03603892 P.V.A. VIC. BRANCH Membership Secretary PO Box 4062 NORLANE VIC 3214 vicmembership@pva.org.au BSB: 633 000 A/C No: 208 625 723 P.V.A. A.C.T./N.T.BRANCH Membership Secretary PO Box 890 TWEED HEADS NSW 2485 nswmembership@pva.org.au BSB: 032-164 A/C: 155742 Office Use Only: Date Received:Amount Received:Paid By:CashChequeMoney OrderDirect DepositReceipt Number:Submit Form Donate Support & Resources About Us Join Us Send Us A Message Please enable JavaScript in your browser to complete this form. We Can How Name *Email *Phone *How Can We Help? *How Can We Help?Submit Get In Touch Email secretary@pva.org.au Phone 1300 553 835 Follow Us Facebook Instagram
