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JET Australia Foundation.

Melbourne Chapter Membership Registration Form 1. Membership type 2. Primary applicant Name 3. Dependants Details Spouses Name Child 1 Name / Age Child 2 Name / Age Child 3 Name / Age 4. Address : . : . : . : . : . . . 5. Email : .. : .. Yes / No Yes / No Family / Single :

6. Telephone (s) 7. Would like to join a JET Satsangh group 8. Would you like to be a JET volunteer?

9. Would you like to send your children to Prjna classes ? Yes / No 10. Please provide your comments and suggestions in the space provided below. You can find more information about JET Australia at www.jetaustralia.org

Office Use Membership fee $ Payment details : Member Number allocated : received on .. Payment method : Cash/Cheque/Direct Deposit

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