Proportional Representation Society of
Australia (Australian Capital Territory)
MEMBERSHIP APPLICATION
FORM
|
Telephone
+61262958137 |
|
|
|
Fax
+61262425909 |
|
14 Strzlecki Crescent, NARRABUNDAH
ACT 2604 |
|
Prospective
members might be interested in joining the Australian Capital Territory
Branch of the Proportional Representation Society of Australia. By
joining the branch you automatically become a member of the PRSA. The Society
works to have committees, municipal councils, parliaments etc. elected by
quota-preferential proportional representation. Branches of the Society cover
all States and the ACT. Your membership and, if you also wish, your
involvement in conveying our point of view to Governments, "Letters to
the Editor", etc. would be greatly appreciated. Members will be notified
of the time and place of our Annual General Meeting and will be sent our
quarterly newsletter "Quota Notes" free. To the Treasurer, ACT
Branch, Proportional Representation Society of Australia I hereby apply for
membership of the PRSA (ACT) in the category ticked in a box below, and
attach my cheque accordingly: |
|
Ordinary
Annual Membership (from 1st July to 30th June) |
$15.00 |
|
|
Ordinary
Annual Membership (from 1st January to 30th June) |
$7.50 |
|
|
Life
Membership |
$200.00 |
|
|
Donation
to PRSA (ACT) |
$.......... |
|
|
TOTAL
PAYMENT |
$.......... |
|
|
Signed |
|
Date |
20.... |
|
Mr/Mrs/Miss/Ms/Dr |
|
|
|
|
Address |
|
Postcode |
|
|
Telephone
(Private) |
|
Telephone
(Business) |
|
|
Fax
(Private) |
|
Fax
(Business) |
|
|
e-mail
address |
|
Mobile
telephone |
|