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Membership  Application

I hereby apply for membership of the
Koondoola Ratepayers And Tenants Action Group [Inc] [KRATAG]

NAME____________________________________________________

ADDRESS_________________________________________________

PHONE__________________       FAX__________________________

EMAIL_____________________________________________________

Fee $5     Send: KRATAG C/- Secretary 
PO Box 4064 Koondoola 6064 WA
 or Pay at the meeting

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