Membership Form - Graduate Women

Complete and submit the Online Form below, or else click for the PDF version to print/mail.

I wish to apply for membership of the Graduate Women NSW Inc :

Title (Ms, Miss, Mrs, Dr):

Surname:

Given Names:

Home Address:

Home Phone Number:

Mobile Phone Number:

Email:

Details of your Degrees / Awards / Honours:

Degree/Award/Hons	Institution	Year	Applicable Surname

My professional/general interests:

I would like to join a Branch:

Branch:

Membership Fee:

Membership Fee $40.00 – for the financial year 1 July to 30 June (If you join after 1st April, you will be financial until 30 June the following year)

Tick if you require a receipt

Tax deductible donations to the GW-NSW Inc Education Trust may be included in your payment. Your generous donation assists GW-NSW in supporting women in education. Receipts will be provided for all donations. My tax deductible Education Trust donation is:

Cheques should be made payable and sent to: GW-NSW Inc LG Floor, 280 Pitt St
Sydney NSW 2000

Or Online Payment (include your details) to: ANZ Bank
GW-NSW Inc
BSB: 012 670
Account #: 300 706 398