APPLICATION FOR MEMBERSHIP

Please print this application and then please complete form and post to:-

AUSTRALIAN FREEDOM FOUNDATION

PO Box 140, Glenelg, South Australia 5045

Phone (08) 8294 2767 Fax (08) 8376 9370

They only deserve freedom who are prepared to defend it.


To the Executive Officer:

This is my application for membership in the AUSTRALIAN FREEDOM FOUNDATION, for one year from this date, and for automatic renewal each year unless I resign in writing.

If my application is accepted, I agree that my membership may be revoked at any time by the Executive Committee without reason being stated, on refund of the pro rata part of the membership paid in advance, subject to my right to be heard or to make a written submission to the Executive Committee.

Name (please print full name) ............................................................................................................

Address (residential address) ...............................................................................................................

Postal address (if different from above) ............................................................................................

Contact 'phone number.................................(H) .....................................(W).........................Mobile

Financial Membership:

Please find enclosed a cheque for $................................being:

Text Box:  

              a new 12 month subscription at the full rate of $20.00 per person per annum.

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              a new 12 month subscription for a married couple at $30.00 per annum.

               a donation to General Funds.

Text Box:          $2    

Text Box:  

Text Box:  
Text Box:  

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               $20                                 $50                                  $100                                  Other

OR please debit my Bankcard / Mastercard/ Visa /or other (please indicate)

Card No: ................................................................................Expiry Date.....................................

Signature.......................................................................


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