Online Form - Historical Society Membership Application

If you would like to be a Member of the Bassendean Historical Society (INC), please fill out the online application form.

Notice to all Members: Annual subscriptions are $5.00 per person, due on January 1st each year. Subs are payable to:

Bassendean Historical Society (Inc)
PO Box 361
Bassendean WA 6934

Name of Applicant *

Address

Date *

Signature *

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