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Membership Form

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By signing below I confirm that I wish to become a member of the Western Australia — Sri Lanka (Ceylon) Association, Inc. and agree to abide by its constitution and by-laws.

Payments for Subscription: Cash or EFT accepted

Payee Details: BSB - 036 062

Payee Details: ACCOUNT NO - 518 950

Payment Reference: Suname and Initial

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Western Australia-Sri Lanka (Ceylon) Association