Cairns Spiritual Centre

Name
Prefix
First
Last
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email
Confirm
Landline
Mobile telephone
Annual Membership
$
Dollars
.
Cents
Paid
 yes 
 no 
Membership Type
 Ordinary 
 Volunteer 
Modality/Therapy (please List)
I have read and understood the Cairns Spiritual Centre Inc. philosophy and objects. I will adhere to them for the highest good of all other members. I understand that the Management Committee may exercise its discretion to terminate my membership if, in its opinion, my conduct does not reflect them.
 Yes 
 No 
I have been advised that The Cairns Spiritual Centre Inc is covered by $20,000,000.00 Public Liability Insurance
 Yes 
 No 
Date

DD
/
MM
/
YYYY
Payment Options
 • Direct debit. A/c Name: Cairns Spiritual Centre; BSB: 034 664; A/c No: 407626. Please use your name as the Reference 
 • Post – by mailing a cheque or money order made out to “Cairns Spiritual Centre” to 1/194 Spence Street, Bungalow, Q 4870 
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