Approved General Members – Payment Form Approved General Members - Payment Form Member DetailsFirst Name*Last Name*Contact Number*Email address* Organisation / company nameMembership Options*$150 - General Membership*if you would like to pay your membership fee via an alternate method, please contact the Variety office on 08 8293 8744Billing Address Street Address Address Line 2 City State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode I am happy to receive communication materials from Variety SA regarding upcoming news and events Yes No If you have any questions, please don't hesitate to contact us on (08) 8293 8744 or [email protected]Pay your 2025 General Membership Fees - $150 GST inc.Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name CAPTCHA Δ
