Print Application Form

Please give us your details:

Surname: .............................................................................................................

Given Names: .....................................................................................................

Male / Female: ...........................

Age: .......................... Date of Birth: .........................................

Address: ............................................................................................................

............................................................................................................................

Town/City: .........................................................................................................

State: ..................................................... Post Code: ........................

Send Applications to:

PSSM Mailbox Club
Second Floor, Trinity Arcade
671 Hay Street Mall
PERTH WA 6000
Tel (08) 9321 6706

or for Tasmania and Victoria residents:

PSSM Mailbox Club
56 Ashbolt Crescent
LUTANA TAS 7009