Student Membership Special Offer

I/We agree with the Aims and Philosophy of the Atheist Foundation of Australia Inc and hereby apply for Membership

SURNAME_______________________________ (BLOCK LETTERS PLEASE)

GIVEN NAMES (or initials)___________________________________(Ms/Mr)_________

ADDRESS_________________________________________________________________

Suburb/Town________________________State___________Postcode________________

Phone No. _________________________Email____________________________________

FULL STUDENT MEMBERSHIP (per annum)

(Single Student $15-00) ............$_______________________

(This includes 6 issues of THE AUSTRALIAN ATHEIST per year).

LAMINATED MEMBERSHIP CERTIFICATE.....$5-00......$______

Would you prefer your Magazine sent by email?.... YES.....NO.......

DONATION..............................................................................$__________________

TOTAL ENCLOSED.............................................................................$______________

SIGNATURE______________________________________

Please complete the above, enclosed with cheque/money order made payable to: Atheist Foundation of Australia Inc and forward to
Ms Lee Holmes (Treasurer)
Private Mail Bag 6
MAITLAND S.A. 5573
AUSTRALIA

Note: A copy of the Constitution is available on application to the registered office, Private Mail Bag 6, MAITLAND S.A. 5573.
It would be appreciated if members and friends made provision in their wills for the on-going objectives of the Foundation.