MEMBERSHIP RENEWAL
Subscriptions for ASBS membership are due on 1 January each year. Subscription rates for 2018 are:
Ordinary/Institutional members (Full fee) AU $ 45.00
Bona fide Full-time student / Retired / Unemployed members (Concessional fee) AU $ 25.00 (Fill in “Occupation” below)
In addition, your tax-deductible contribution to Hansjörg Eichler Research Fund would be most welcome.
Have you considered that a gift from your estate is a simple and effective way of making lasting provision for the causes you care about?
Please return this form with payment either by mail or email.
Title: ...... Preferred given name: ...... …………...... ………... Initials: ..…….... …Family name: ….…...……...…………………......
Address: .....……...... …………...... …...... …...... ………………………………………..……………...……………Postcode: ......
Email: ….………………………...... …...…………………………………………………. Occupation: …....…………..……………………………
2018 subscription $ . 00
Arrears (for year/s …………………..) $ . 00
Voluntary donation to Eichler Research Fund $ . 00
TOTAL $ . 00
1. The Newsletter will automatically be sent electronically. If you wish to continue receiving the hardcopy please circle or highlight [ YES ]
2. If you have included a donation to Hansjörg Eichler Research Fund do you give permission to have your name listed in the Society's annual report? We do not publish the amount donated. Please circle or highlight [ Yes ] or [ No ].
Payment by cheque, credit card or bank transfer.
1. Cheques should be made payable to Australasian Systematic Botany Society Inc.
2. Credit Card Payments: Visa / MasterCard (please circle) Credit Card No.: ______/______/______/______Expiry Date: ____/____
Signature of card holder: ……..……………………………………………………..
3. Bank Transfer: Commonwealth Bank of Australia BSB: 063-243 Account Number: 00901958 Swift Code: CTBAAU2S
Important: Please include your full name in the payment reference.
Please forward to:
Matt Renner
Royal Botanic Garden Sydney
Mrs Macquaries Road
Sydney NSW AUSTRALIA 2000
Enquiries: