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Join Us

FOR ANIMALS...

Please complete the following form if you are interested in joining us or donating. The animals need your help now.

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Name:
Address:
Email:
Subscribe to newsletter?
Phone (home):
Phone (work / mobile):
Date of birth:
Occupation:
   
SELECT SUPPORTER TYPE:
(includes subscription to ACTION magazine)
$35 One Year General
$25 One Year Concession
$50 One Year Family
Donation
Please tick if you would like a receipt

SELECT PAYMENT TYPE:       
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Card number:
Name on card:
Expiry date: Month: Year:
   
Money Order: Please send to address on the contact page
Cheque: Please send to address on the contact page

VOLUNTEER INFORMATION
(please tick appropriate boxes)
I am unable to help and do not wish to be contacted at the moment
I am able to help with the following:
Office work. Skills:
Mail outs (helping with quarterly mailings)
Letter writing
Organise demonstrations and or help with props, banners etc
Attend demonstrations
other (Please specify)
 
Your say - please add any information you would like us to know:
 
 
Boot chewing dog
Piglet Face
Bunny in the field

Animal Liberation Victoria is legally obliged to ensure it does not disclose any information in relation to its site visitors or their accounts to anyone except with the consent of the customer. You can be assured that Animal Liberation Victoria will treat any information provided by you as confidential.


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