Community Law Association
 
Community Law Association
 Membership Application Form

 Step 1.       Please complete this form and click 'Submit'.
By submitting this application form you agree to accept and abide by
all of the Rules and Conditions of Membership of CLA.

Step 2.      Please deposit / EFT the appropriate membership fee to:
St Georges Building Society, Broadway NSW  2037
A/c Name: Community Law Association Glebe
BSB  112-879    Account Number 473344461.
Use your ATN as unique ID on payment slip - it will be your official membership number.

Step 3.     Send a colour passport photo and scan / photo of your
signature (in black ink on a blank white background) to:
info@communitylawass.org
with your ATN in the subject line.

NO BENEFITS of membership are available until funds have been cleared by the Bank.
Category of Membership Applied For:> Standard ($25)
Category II ($50)
Category III ($750)
(Categories II and III include Standard Membership)
Given Names:
Surname:
Address I: (PO Box not acceptable)
Address II:
Suburb/Town:
State/Territory:
Postcode:
Date of Birth: (dd/mm/yyyy)
Sex: Male
Female
Australian Tax Number (ATN):
Organ Donor: Yes
No
Work Phone:
Home Phone:
Mobile Phone:
Email Address:

Associated with NOBIS Movement for Democracy

Responsibility for Political Comments herein is assumed by
Peter Gargan, PO Box 457 Glebe 2037, and he authorizes their publication. 

© Community Law Association, Sydney, Australia 2009