I would like to become a member

Yes, I would like to be a member of the RFDS Outback Traveller’s Club in 2002/2003.
Membership valid1/7/2002 – 30/6/2003

Membership	$	22.73
GST	$	2.27
Membership total	$	25.00
Please also accept my extra donation to the RFDS (donations of $2.00 or more are tax deductible)	$
TOTAL	$

Member details

Title                                       First name                                                                       

Surname                                                                                                                       

Address                                                                                                                      

City                                           State                                          Postcode                  

Daytime Phone                                                                                                             

Payment

¨ Enclosed is my cheque or money order made out to RFDS Central Operations
                                       Or
please debit the amount listed above at ‘TOTAL’ from my:
¨ Bankcard ¨ Visa ¨ Mastercard ¨ Amex ¨ Diners
_ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _

Exp                                               Signature                                                                    
Name on Card                                                                                                          

Becoming a member of the Outback Traveller’s Club is easy, just fill out this form, attach payment or credit card details and post to:

Outback Travellers Club                                                   Fax: (08) 8234 5640
RFDS Central Operations Inc                                                         Please contact the RFDS Adelaide Office on
PO Box 381                                                                                         the details listed below if you have any questions.
MARLESTON BC 5033

RFDS Adelaide Office: PO Box 381, Marleston BC, 71 Henley Beach Road, Mile End 5031, SA
Telephone (08) 8238 3333 Facsimile (08) 8234 5640 Email enquiries@flyingdoctor.net