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Membership application

First name:

Last name:

Preferred contact details:

home   work

Organisation: (if required for your postal address)

Address:

City:

State:

Country:

Postcode:

Tel (day):

Tel (AH):

Fax:

Mobile:

Email:

I hereby apply to become a member of St James Ethics Centre. In the event of my admission as member, I agree to be bound by the organisation's current model rules (PDF).

How did you hear about St James Ethics Centre?

membership categories

Individual*
AU$71.50 per annum (includes $6.50 GST)

Concession or student*
Card number:
AU$33.00 per annum (includes $3.00 GST)

Corporate
0 - 50 employees AU$550 per annum (includes $50 GST)

51 - 99 employees
AU$1,100 per annum (includes $100 GST)

Over 100 employees
$2,750 (AUD) per annum (includes $250 GST)

Payment type

Credit card (submitted online)

Fax or mail

* Personal cheques or credit card only for individual & concession/student membership

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