Membership Application / Donation Form
Please fill in before printing or complete in BLOCK LETTERS

Last Name:

  Given Name:

Address:

  Post Code:

Telephone:

  Mobile:

Email:

Membership (full/concession/student)

   1 year membership ($20/10/$5)

Donation

I would like to make a donation of $

Total amount payable:         $

By signing this membership application form I certify that I agree with the objectives of SAWA-Australia (SA) and undertake to abide by its constitution.*
 
 
 

Signature: .................................................

Date: ......................................

* To view the constitution please visit www.sawa-australia.org/documents/constitution.html

Volunteering
I am interested in assisting SAWA-Australia (SA)in its work through

fundraising/merchandise    event organization    lobbying / letter writing

other (please specify) ...................................................................................

Please send the completed form with your cheque and/or money order made out to SAWA-Australia (SA) to

SAWA-Australia (SA)
P.O. Box 90, Flinders University Post Office, BEDFORD PARK SA 5042

The women, boys and girls of Afghanistan and the Afghan refugees living in Pakistan will thank you for your support.