MAHA MEMBERSHIP APPLICATION / RENEWAL FORM

You can print this page out, complete it and post it to us today at the address below.

I would like to become a member / renew my membership of MAHA.

Please find a bank cheque/money order for the amount of  $A __________ attached, covering the items ticked below:

[ __ ] Ordinary Membership - A$30.00 (includes GST)

[ __ ] Full Time Student Membership - A$15.00 (includes GST)

[ Student No. ______________________________ ]

[ __ ] Additional Donation - A$ ___________

NAME:  __________________________________

SCHOOL:  ______________________________________________________

ADDRESS: (for mailing Newsletter and other communications)

_______________________________________________________________

_______________________________________________________________

TELEPHONE:  __________________  (H)     _____________________ (W)

EMAIL ADDRESS:  _______________________________________________

Membership subscriptions may be tax-deductible (e.g. when paid for professional purposes); additional donations (which are used to support the University’s research) are tax-deductible to Australian taxpayers.

Please make your remittance payable to MACQUARIE UNIVERSITY (ABN 90 952 801 237), and post this application form to:

The Secretary

Macquarie Ancient History Association

Department of Ancient History, Division of Humanities

Macquarie University NSW 2109

AUSTRALIA