Membership Application Online Form

First name

Last name

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Membership starts January of each year

*DHS Inc. operates under the banner of the Dunsborough District Progress Association. Joining us automatically joins you to the DDPA and your details will be safely stored with them as well.

Donation Amount (optional) :

Membership Payment Details:

Bank: Bendigo Bank Dunsborough BSB: 633 000

Name: Dunsborough Historical Society Inc. Account: 195 014 394

*Dunsborough Historical Society Inc. is GST Registered.