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Membership Form

Animal Liberation NSW does not receive government grants to continue its campaigns against the exploitation and cruelty to animals in all its many and varied forms. We rely on collective help – both moral and financial – to continue.

At the moment, there is a great deal of interest in animal rights issues and a growth of awareness. We (and the animals) need this to continue – with your help.

 



Full subscription is $45, concession for students/pensioners is $25. You can also become a life member by making a one-off payment of $1000. You will receive 2 newsletters a year as well as a campaign pack designed to get you active from home. For an ongoing update of campaigns, rallies and items of immediate interest become an email subscriber – (this is free).

I enclose my cheque/money order for $45/$25/$1000 or Fill in Credit Card details below.

Payment amount (please tick):   __ Full ($45)   __ Concession ($25)   __ Life Member ($1000)

CREDIT CARD DETAILS

NAME ON CARD:
CARD NUMBER: EXPIRY DATE:             
SIGNATURE:

 

PERSONAL DETAILS

NAME:
ADDRESS:

POSTCODE:                               
PHONE: DATE:

 

ADDITIONAL DETAILS

AGE:

SEX:

OCCUPATION:

MARITAL STATUS:

NUMBER OF DEPENDANTS:

 

HOW DID YOU HEAR ABOUT ANIMAL LIBERATION NSW?

 

 

HOW INVOLVED ARE YOU LIKELY TO GET WITH ANIMAL LIBERATION NSW

(please circle appropriate choice/s):

1. Financial Supporter Only     2. Hands-on Supporter (e.g. stalls, protests, campaigns, festivals, etc)

3. Online Supporter (e.g. sending emails, writing letters of protest, distributing awareness emails, etc)

 

If you would like to be contacted by email about up and coming actions, write your email address below:

 

EMAIL:                                                                                                                                

 


POST THIS FORM WITH YOUR PAYMENT TO:

Suite 506/89 York Street, Sydney NSW 2000

 

 



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