Membership Form Complete and submit the Online Form below, or else click for the PDF version to print/mail. I wish to apply for membership of the Australian Federation of Graduate Women NSW Inc : Title (Ms, Miss, Mrs, Dr): Surname: Given Names: Home Address: Home Phone Number: Mobile Phone Number: Email: Details of your Degrees / Awards / Honours: Degree/Award/Hons Institution Year Applicable Surname My professional/general interests: I would like to join a Branch: Branch: Membership Fee: Full Membership Fee $105.00 / Associate Membership $25.00 – for the financial year 1 July to 30 June (If you join after 1st April, you will be financial until 30 June the following year) Tick if you require a receipt Full Membership of AFGW NSW automatically bestows membership of the national body of AFGW, which is affiliated with the Graduate Women International (GWI). Your Full Membership payment of $105 is disbursed in the following way: GWI/AFGW $80, AFGW NSW $25. Associate Membership is for the local group only. Fees to GWI/AFGW do not apply. Tax deductible donations to the AFGW NSW Inc Education Trust may be included in your payment. Your generous donation assists AFGW NSW in supporting women in education. Receipts will be provided for all donations. My tax deductible Education Trust donation is: Cheques should be made payable and sent to: AFGW NSW Inc PO Box A2231 Sydney South NSW 1235 Or Online Payment (include your details) to: Commonwealth Bank AFGW-NSW Inc BSB: 062 000 Account #: 0080 2977 Information provided to AFGW-NSW may be shared with AFGW Inc unless you specifically instruct the Membership Registrar otherwise. AFGW-NSW Inc and AFGW Inc will not make your information available to any other person or organization without your specific consent.