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 Graduate Women NSW Inc :

Title (Ms, Miss, Mrs, Dr):
Given Names:
Home Address:
Home Phone Number:
Mobile Phone Number:
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:
Membership Fee $40.00 – 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
Tax deductible donations to the GW-NSW Inc Education Trust may be included in your payment. Your generous donation assists GW-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:
LG Floor, 280 Pitt St
Sydney NSW 2000

Or Online Payment (include your details) to:
ANZ Bank
BSB: 012 670
Account #: 300 706 398