Centaur Memorial Fund For Nurses

Patron: Her Excellency the Honourable Dr Jeannette Young AC PSM,

Governor of Queensland

(Incorporated by Royal Charter)

The Secretary P.O.Box 3455, Newmarket, QLD 4051

Membership Application Form

General Membership is open to any member of the community who subscribes to the objectives of the Fund.

Surname

First Names

Address

Post Code

Workplace

Membership Fee = $40 per annum

ABN: 68 670 493 663

Payment may be made by Direct Deposit (preferred).

For cheque or money order, please post to Centaur Memorial Fund for Nurses.

Direct deposit details:

Account Name: Centaur Memorial Fund for Nurses

Bank: Bendigo Bank

BSB Number: 633 000

Account Number: 182056408

When making a direct deposit, please reference your name and the nature of the deposit (eg. membership, donation, specific event).

Please then email admin@centaurnursesfund.org.au to advise your deposit and contact details.

For cheque or money order, please post to PO Box 3455, Newmarket, Queensland 4051.

For further information please ring our Secretary on 0428 787 317 or Treasurer on 0408 188 508.

Contact