| Prefix | JAMILLA |
| Membership Number | 553002 |
| Membership Name | Mrs A Ballin |
| Membership Type | Full |
| Nominee Name | Ballin Amanda |
| Address | 19140 Barrier Hwy |
| Suburb | WILCANNIA |
| Postcode | 2836 |
| Phone AH | |
| Mobile | 0417 506 078 |
| gmballin@activ8.net.au | |
| Branch Name | Central West NSW |