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Membership Form

How to Join ASIAC (NSW)
To become a member or renew your membership, please complete and submit this Form.
New Membership Membership Renewal
1 Yr Family Membership - $50.00 3 Yr Family Membership - $140.00
PAYMENT:
Cheque/money order post to ASIAC Membership Secretary, PO Box 261, BELROSE 2085 Internet Deposit to ASIAC (NSW) Inc BSB 062 245 Acc. No. 0090 5085
Dated:
*Email Address:
*Full Name (first & last):  
*Partner's Name (first & last):  
*Mailing Address:
*City:
*State:
*Postcode:
*Phone (Home):
*Phone (Work):
*Phone (Mobile):
STATUS: Applied to adopt Waiting family Adoptive family
COUNTRY: China Hong Kong India Korea
  Philippines Thailand Taiwan
Your child by adoption or birth (waiting families - please send details of your new arrival on allocation):
Full name(s) Date of birth Date of adoption Country
EVENTS/ACTIVITIES: Please select the events/activities of interest
Pre-adoption mentoring Attend discussion evenings eg. lifebooks
Mentoring a local family Attend ASIAC events eg. Info Days
Running a local playgroup Post-adoption mentoring
Attending a local playgroup Committee Membership


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