Banyule Toy Library
New Member Application Form
Primary Contact
First Name:
Surname:
Mobile:
Email:
Second Borrower:
First Name:
Surname:
Mobile:
Email:
Member Type:
3 Months : $ 40.00
6 Months : $ 80.00
06 Weeks : $ 20.00
Standard : $ 150.00
Standard - Health Care Card/Seniors : $ 80.00
Volunteer : $ 75.00
Volunteer - Health Care Card/Seniors : $ 40.00
Address:
Suburb:
Balwyn North
Bellfield
Blackburn South
Briar Hill
Bulleen
Bundoora
Carlton
Diamond Creek
Doncaster East
Doreen
Eaglemont
East Ivanhoe
Eltham North
Epping
Greensborough
Heidelberg
Heidelberg Heights
Heidelberg West
Hurstbridge
Ivanhoe
Kingsbury
Lilydale
Lower Plenty
Macleod
Meadow Heights
Mernda
Mill Park
Montmorency
Northcote
Plenty
Prahan
Preston
Reservoir
Rosanna
South Morang
St Helena
Thomastown
Viewbank
Watsonia
Watsonia North
Wattle Glen
Wollert
Yallambie
Other or not listed
Pcode
State:
How did you find us?:
Attending Interlaken Kinder
Book Library
Community Event
Competition
Council
Current or Previous member
Facebook
Friend
Internet search
Maternal Health Centre or New Parent Group
Other
Playgroup
Refer a Friend Promotion
Small Ideas Voucher
Toy Libraries Australia Website
Welcome to Banyule
How can you help? (select more than one)
Promotions
Fundraising
Grants
General Committee Member
Newsletter
Website Design
Not at this time
I'd like more information
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Conditions of membership
By clicking yes I agree to the conditions of Membership:
WAIVER, RELEASE AND INDEMNITY FOR BICYCLES AND SCOOTERS
By clicking Yes I agree to the Helmet waiver, release and Indemnity for Bicycles and scooters.