Membership Application Vegan Society NSW PO Box 467 Broadway NSW 2007 Tel: 02 9037 5147 Join us today and make a difference To join the Vegan Society NSW: 1. Read the Aims and Objectives of the Vegan Society. 2. Print this form and fill it out. 3. Send with your payment to the above address.

Your details Full name   Street address   Town/Suburb   State: Postcode: Phone(s)   Email   Membership type (tick one) ( ) Single $33.00 per year ( ) Concession    $25.00 per year ( ) Family $38.00 per year ( ) New member ( ) Renewal Donation   Magazine (tick one) ( ) Vegan Voice     ( ) Natural Health and Vegetarian Life Interests or skills to help the Society

I enclose cheque or money order, made out to Vegan Society (NSW) Inc, for $_________
OR
Please debit my credit card with $________

Credit card details

Card type (tick one)	( ) Visa     ( ) Mastercard
Card number	__   __   __   __      __   __   __   __      __   __   __   __      __   __   __   __
Expiry date	__   __   /   __   __
Name on card
Signature		Date:

Please send your form and payment to:
Vegan Society NSW
PO Box 467
Broadway NSW 2007