AUSTRALIAN FAMILY ASSOCIATION MEMBERSHIP FORM 2008 TAX INVOICE ABN: 53 441 526 057

Membership of the Australian Family Association is open to families/individuals who espouse the aims and objectives of the Association. These are found in the booklet “The Australian Family Association – Aims and Objectives” which is available upon request. Membership includes six issues of Family Update and three issues of the journal The Australian Family.

On occasion the AFA may send out material in order to raise the funds needed to support its activities. Please give your permission for the AFA to do so by ensuring that your signature is given below.

I/We (NAME(S)): _______________________________Of (ADDRESS): _____________________________

SUBURB: ___________________________ POSTCODE: _________________TELEPHONE :

(Home) _______________________ (Work) __________________________ FAX :

(Home) _______________________ (Work) __________________________

MOBILE: _______________________________ EMAIL: _______________________________

accept the aims and objectives of the Australian Family Association and wish to apply for membership.

SIGNATURE:__________________________________________________________________

I/we authorize the AFA to send material related to its fundraising efforts.

SIGNATURE:___________________________________________________________________

Please find below details for my yearly subscription to the Australian Family Association.

Membership $ 40.00 (includes GST)

Donation $ _________ TOTAL $ _________

If paying by cheque please make it payable to the Australian Family Association.

If paying by credit card please complete the following details:

Bankcard MasterCard Visa Expiry Date

Card Number: _________________________________________________________

Name as on Card: __________________________ Signature: _________________________

PLEASE SEND COMPLETED FORMS TO:

Secretary AFA, c/o 32 Rickard Road, Warrimoo NSW 2776. Or FAX to 03 9328 2877