AUSTRALIANS FOR NATIVE TITLE AND RECONCILIATION       New South Wales              (NSW ANTaR Inc.)

  

MEMBERSHIP APPLICATION / RENEWAL 

INDIVIDUAL MEMBERSHIP

Name											Postal Address
Telephone						(work)                              (home)                         (mobile)
Email
(Optional) 	Are you a member of a local Reconciliation Group?   				 YES / NO
					Which one?
					If not, would you like contact details for your local group?    		YES / NO

(Optional) 	Do you have any special skills that may help ANTaR’s work?

(Optional)	Are you involved in other organisations (unions, church, etc) in which you may be able to help ANTaR’s work?

I enclose an annual membership subscription of (please circle): 
   ●  $20 full rate   ● $10 concession/unwaged    ●  additional donation of $.......

Please make cheques/money orders payable to “NSW ANTaR Inc.” and return this form to: NSW ANTaR Inc., PO Box 1176, ROZELLE NSW 2039 (enquiries: 02 9555 6138).

ORGANISATIONAL MEMBERSHIP

Name of organisation
Postal address of organisation
Please nominate TWO contacts within your organisation:
1.	Name												Postal address 			
	Phone/s	     									Email
2.	Name												Postal address 			
	Phone/s	     									Email							
Please circle address to which newsletters and correspondence should be sent.

Enclosed is organisational membership annual subscription of (please circle): 
•	$40 small organisations (e.g. local Reconciliation groups)
•	$100 large organisations (e.g. State-wide bodies)
•	Additional donation of $.......

Please make cheques/money orders payable to “NSW ANTaR Inc.” and return this form to: NSW ANTaR Inc., PO Box 1176, ROZELLE NSW 2039 (enquiries: 02 9555 6138).  

Both types of membership are annual, and run from one Annual General Meeting to the next.  Members must be financial to vote at General Meetings. If you are unsure of your membership status, please contact the office.