Join us or donate!

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:
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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:

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