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Care to join us?

Application for membership

Name: ......................................................................... .................................

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

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

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

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

Phone (home): ......................................................................... .................

(work): ......................................................................... ...............................

Type of membership: ......................................................................... ....

Amount enclosed: ......................................................................... .........

SINGLE MEMBERS: AU$20.00
JOINT OR FAMILY MEMBERS: AU$30.00
SUPPORTING GROUPS: AU$30.00
STUDENTS AND PENSIONERS: AU$10.00
CORPORATE MEMBERS: AU$100.00
LIFE MEMBERS (ONCE ONLY PAYMENT): AU$250.00

Please print this application form and forward when complete, together with subscription, to:

The Secretary
The Men of the Trees (NSW) Inc
239 Pebbly Hill Road
Cattai NSW 2756
Australia