I/we wish to apply for membership of the Australian Brontë Association.

ADDRESS: ____________________________________________________________________

PHONE: __________________ (Day) __________________ (Evening)

e-mail: __________________________________

	Single membership $20

	Reciprocal Membership for members of the Brontë Society (UK) $15

	Full Time Student/Pensioners/Unemployed $15

	Family membership $25
	(Two members at the same address)

	Associate membership $5
	(Interstate members, or members in regional NSW – receive the publications but have no voting rights.)

Membership is for a calendar year.

However if you first join after 30^th June your membership takes you through to the end of the following year.

I enclose a cheque/money-order for $_______

I would like a receipt

Cheques should be payable to The Australian Brontë Association

Send this form and your payment to the Treasurer:

Michael Links,

13 Greygum Place

Gymea Bay NSW 2227