APPLICATION FORM

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Company Name:
(if applicable)
Address:
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Email:
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Please indicate other skills or areas of interest which may be of interest to other readers: e.g. hobbies, long-term goals, volunteer work, passions, community/charitable proejcts...You NEVER know who you might meet or where this may lead!
PLEASE TICK DETAILS YOU WOULD LIKE TO APPEAR ON WEBSITE:
Name Phone Mobile Email Surburb
Are you interested in being featured in the 'Mother of the Moment' Subscriber Profiles? Yes No
SUBSCRIPTION FEES WITH REFERALS:
12 month subscription fee:
$50
SUBSCRIPTION FEES WITHOUT REFERALS:  
One off joining fee
$100
12 month subscription fee:
$50

Direct Debit to:

Acct Name: Mums' World
BSB: 013 352
Acct No: 4896 52724

First initial and surname must accompany deposit

OR

Please send your cheque to Mums' World, P.O. Box 331, Mentone Vic 3194

 
Once payment is received, your name and skills will be added to the website immediately
Mums' World takes no responsibility for quality of work performed by your choice of candidate
Mums' World reserves the right to refuse subscription

 

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Site by MLJ