Member Renewal

identifier

If you support the purposes of and rules of the Friends of Lorne, please complete this form and return it to us. Your payment can be made by cheque or direct deposit.

Name *

First

Last

Name 2 (for family membership)

Postal Address *

Postcode *

Membership type and donation if applicable *

Family $25
Individual $15
Donation

Total payment (membership & donation, if any) *

Payment options, please check one *

My payment is by cheque (payable to Friends of Lorne, mail to Friends of Lorne, PO Box 68, LORNE 3232)
My payment is by direct debit (Friends of Lorne. BSB 063708 A/C No 10037671. Please insert your full name in the description field)

Please indicate the issues that are important to you:

2nd issue

Date *

Email *

Email 2 (if appropriate for family memberships)

Comment or Message

Friends of Lorne depends upon the generosity of volunteers. If you are able to offer some time and/or know-how on environment, planning, communication or administration, please indicate below and we will get in touch with you.. Thank you.

If you have questions please note that our new email address is:
committee@friendsoflorne.org.au.

Or you could write to us at:
PO Box 68, Lorne, Victoria 3232