Warrnambool Heritage Works Logo
Warrnambool Heritage Works Logo

Online Membership Application / Renewal Form

2025-2026

Please fill in the following membership application form.  Once submitted, the form will be emailed to the Membership Registrar.  A copy will also be emailed to you. 

If you  have any questions, please email .

Your Name*
Email Address*
Email Again*
Address*
Suburb*
Postal Address (if different from above address info)
Post code*
Phone
I wish to renew/join as*
   
I wish to receive notices and/or newsletters by
    
Donations over $ 2 are tax deductible - donation $
Payment by*
   

 

Direct Credit Details
Beyond Bank - BSB 325 185  Acc 0408 2114  Reference:  add your surname

Direct Credit Receipt
If you would like a receipt please leave a note in the message box below.
Message

OFFICE USE ONLY
Fee received:                             Receipt No:                     Entered to Register:
Membership No:                     Card Issued: