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The above named organisation (or individual) hereby expresses interest in membership of Psychiatric Disabilities Services of Victoria (VICSERV) Inc. and nominates the above named person as the Contact person for all correspondence.
Upon acceptance of this application, Psychiatric Disabilities Services of Victoria (VICSERV) Inc. is authorised to insert the name of this organisation (or individual) in the register of members of the incorporated association.
We hereby agree to abide by the Rules of Psychiatric Disabilities Services of Victoria (VICSERV) Inc.
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