SpringDale Membership Form

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Name *

First

Last

Email *

Address *

Phone

Gender

Date of Birth

Day/Month/Year

Drysdale Toy Library

I wish to join the Drysdale Toy Library (an initiative of SpringDale Neighbourhood Centre)

SpringDale Groups - that you are a member of

Ideas for other Groups or Classes

Comments

Privacy Notification / Image Use Permission (Photos & Videos)

May be taken during your participation in a SpringDale Group, course or other activity, for publicity purposes. (Please select if you give your permission for your image to be used in this way.)

Membership Payment Option (Please Invoice Me for Payment)

This payment can be made with Direct Credit to our bank account, Credit Card over the phone, or in person during office hours.

Would you like to be kept informed as to what is happening at SpringDale? *

We respect the interest you show in SpringDale and will never send any inappropriate information. You are important to us.

Phone Numbers

Office: 5253 1960
Mob: 0416 450 534
Fax: 5253 3050

17 – 21 High Street
Drysdale, VIC, 3222
Mon – Fri 9 AM – 5 PM

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