MEMBERSHIP FORM

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Amount due:

South African Residents: R 250

Overseas Residents: 100 Euros (details on request)

Account Name: The Richard Wagner Society of South Africa

Your name: Surname and intial (to enable us to identify you properly!)

Bank/code: Nedbank Gardens: 101009

Account no: …………1001845226

Cheques may be posted to:
The Treasurer
The Richard Wagner Society of South Africa
116 Loop Street, Cape Town 8001

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