The C J La Trobe Society


Membership application

Thank you for choosing to join the C J La Trobe Society.
To apply for membership, either download a membership application form and send it to the society, or complete the form below and submit.

    Membership application

    Your Name*

    Additional Name

    Your Address

    Your Email Address*

    Select type of membership*
    Single - $55Family - $85

    Select payment method*
    EFTChequeOther (add comment)

    How did you hear about the Society

    Comment

    Prove you are human quiz: what does 3 + 4 equal?

    Please make your payment:
      ●  EFT to BSB 033-018, Account No. 149584 (Please put your name on the EFT); or
      ●  Remit a cheque payable to 'The C J La Trobe Society Inc.' and post to 'The Treasurer, La Trobe Society, PO Box 65, Port Melbourne, Victoria 3207.

    * Required