[] 1 Step 1 The Sicilian Association of Australia Inc.PO Box 837, Moonee Ponds VIC 3039Email: tsaa@tsaa.net.au Membership Form 2020 Name Surname: First name: Date of birth:date_range Preferred name: Membership No: Postal address:map Email address:email Telephone:phone Mobile:phone_android Please pay Membership fee valid to 31 Dec 2020 by: (1) Credit card payment authority to TSAA. (Please note credit card payment is processed by The Sicilian Association of Australia) Please debit myVisaMastercard Card Number: Expiry Date:date_range Amount:$40 (Couple)$25 (Single)$15 (Student) Cardholder’s name: (2) Direct deposit at NAB or I/net Transfer to: Account Name: The Sicilian Association of Australia BSB: 083-419 Account No: 18-465-0170 (3) Cheque to: The Sicilian Association of Australia PO Box 837 Moonee Ponds VIC 3039 Please specify your interests in Sicily ArchitectureArtArtigianato (Crafts)BusinessCinema Cooking EducationFoodHistoryLanguage & Dialect LiteratureMusicPhotographyPoetrySocial SportTheaterSicilian MigrationTourism/TravelWineOthers Your connection to Sicily: We welcome specific comments regarding any of the above interests:0 / Do you have a particular skill set that might contribute to the development of the Association? (Professional or non professional). Please specify.0 / (*compulsory fields) Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right
