Australasian Society for General Relativity and Gravitation Membership form Please fill in the form below and send it with your remittance to Dr John D. Steele (Treasurer ASGRG), School of Mathematics and Statistics, UNSW SYDNEY NSW 2052, Australia. Fax: ((+61)) (2) 9385 7123 email j.steele@unsw.edu.au Receipts will be issued. Our financial year runs from 1 July to 30 June of the following year. Please fill in the years applicable in the space indicated. Direct transfer of dues is our preferred option. Australian Institute of Physics (AIP) members are entitled to a 10% discount. Note: Any member in arrears must pay all arrears since the date of first joining the Society or alternatively take out Life Membership. Name: Address: Email: Lifetime membership A$250 Lifetime membership (retired or over 65) A$125 Annual membership 1st July to 30 June = years at A$40/year Student membership 1st July to 30 June = years at A$20/year Retiree membership to 30 June = years at A$20/year 1st July AIP member 10% discount Total A$ Please email me ASGRG account details so I can make a direct transfer of A$ Please find enclosed my cheque/money order for A$ Signature: Date: