Brisbane State High Alumni registration page

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Privacy notice

We value your privacy. Your information will only be used for the purpose of responding to your inquiry and will not be distributed to any third parties unless authorised or required by law. For more information, read our privacy statement.

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Title * *

Please select your title from the drop-down menu.

First name * *

Please enter your first name in the text box.

Surname * *

Please enter your surname in the text box.

Previous name

If you have changed your name since you were at school (eg after marriage), enter your previous name.

Street address * *

Please enter your house number, street name, and suburb in the text box.

Suburb * *

Please enter your suburb in the text box.

Postcode * *

Please enter your postcode in the text box.

Phone number

Please enter your contact phone number in the text box.

Email * *

Please enter your email address in the text box.

Years attended at BSHS * *

Please enter the years you attended BSHS in the text box (e.g. 1999 to 2013).

Last class at BSHS * *

Please enter your last class in the text box (e.g. Junior, Senior, Year 10, Year 12).

Occupation details

Please enter your occupation details in the text box.

Membership level * *

Please choose which membership you require from the drop-down menu.

I hereby apply for membership of the BSHS PSA and agree to be bound by the Constitution of the Association. * *

Yes

No

Privacy notice * *

I have read and understood the privacy notice

You must read and accept our privacy notice in order to submit your form.

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