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membership form

I/we support and agree to abide by Gene Ethics Vision,


Mission and Purposes. Here are all my/our details
Gene Ethics
Vision
Gene Ethics envisages a safer, more
equitable and more sustainable GM-free
society.
Mission
Gene Ethics is a non-prot educational
network of citizens and kindred groups.
We want the precautionary principle,
scientic evidence and the law rigorously
applied to all proposed uses of genetic
manipulation (GM) technologies and their
products.
Gene Ethics generates and distributes
accurate information and analysis on
the ethical, environmental, social and
economic impacts of GM. Our education
programs critically assess GM for the
public, policy-makers and interest
groups.
Principal Purposes
Gene Ethics was established in 1988 for
the purposes of:
protecting and enhancing the natural
environment, or a signicant aspect
of the natural environment and public
health;
providing information or educating,
or the carrying on of research, about
the natural environment including but
not limited to genetically engineered
organisms in food, farming and cloning;
and
informing the community about any
matters arising from the development
of gene technologies and the use of
their products.
Benets of membership
Right to speak and cast one vote at
Annual General Meetings, in person or
by proxy
Regular newsletters and updates by
email, facebook and website
Notifcations of government and other
inquiries and policy processes
Invitations to forums and events
Publicity for your groups campaigns
and events
Links to your website, for groups
Please
Join
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NAME
ADDRESS STATE POST CODE
TEL ( ) EMAIL
ANNUAL (NON TAX DEDUCTIBLE) MEMBERSHIP FEES
Individuals $25, Incorporated groups with under 100 members $50, Larger groups $100.
My/our payment of $ is enclosed.
METHOD OF PAYMENT
CHEQUE
}

Please make payable to Gene Ethics.
MONEY ORDER
CREDIT CARD REQUEST
BankCard VISA Master Card Diners Amex
CARD NO. CARD EXPIRY DATE ____ / ____
NAME ON CARD SIGNATURE
OFFICE USE
Dbase
Bank
Receipt
eGive
Info
FOR INDIVIDUALS
SIGNED
FOR GROUPS
by resolution, we resolved to be a member of Gene Ethics at a duly constituted meeting
held at on
SIGNED OFFICIAL ROLE

A PLEASE FILL IN THE FORM and FREE-POST to Gene Ethics,


Reply Paid 79784, Carlton, Victoria 3053
OR ATTACH TO AN EMAIL TO Info@geneethics.org
OR

B JOIN ONLINE BY DOWNLOADING


THE JOIN/GIVE FORM AT
www.geneethics.org/donate
OR

C JOIN BY PHONE AT
1300 133 868 (local call)
Please
support
Gene
Ethics
Easy as A, B, C

A FILL IN THIS FORM


> and FRee-Post to
Gene ethics, Reply
Paid 79784, Carlton
Victoria 3053
> or attach to
an email to info@
geneethics.org

B DONATE ONLINE
by credit card at
www.geneethics.org.
au/donate

C DONATE BY PHONE
with your credit card
on 1300 133 868
(local call fee)
Your donation to
the Environment
Projects Australia
& Gene Ethics Joint
Education Project
is processed by eGive
services a service of
Environment Projects
Australia Foundation
(ABN 47 078 168 297)
Credited to Gene Ethics
(ABN 67 104 140 918) under
an agreement between
the two organisations.
OFFICE USE
Dbase
Bank
Receipt
eGive
Info
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Please
Give
Produced and published by Gene ethics
ABN 67 104 140 918
Level 2, 60 Leicester st, Carlton 3053 Vic
Ph: 03 9347 4500
or 1300 133 868 (local call fee)
Fax: 03 9341 8199
Email: info@geneethics.org
Web: www.geneethics.org
: http://tinyurl.com/czgdz6c
donation form
Here are all my details
TITLE MR / MRS / MS / DR NAME
(FIRST NAME OR ABN NUMBER) (LAST NAME OR COMPANY/BUSINESS NAME)
ADDRESS
STATE POST CODE TEL ( ) EMAIL

I would like to contribute regularly each month
AMOUNT $200 $100 $50 $25 $10 OTHER $ per month (Minimum $10 per transaction)
METHOD OF PAYMENT Direct Debit (contact GeneEthics for the DIRECT DEBIT REQUEST form which authorises your bank to transfer funds)
Credit Card (fill in the CREDIT CARD REQUEST below)

I cant give regularly but here is my donation
AMOUNT $1000 $500 $250 $150 $75 OTHER $ (Minimum $25 per transaction)
METHOD OF PAYMENT Credit Card (fill in the CREDIT CARD REQUEST below)
Cheque
Money order

} IMPORTANT! payable to Environment Projects Australia/Gene Ethics
CREDIT CARD REQUEST
BankCard VISA Master Card Diners Amex
CARD NO. CARD EXPIRY DATE ____ / ____
NAME ON CARD SIGNATURE
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All donations
of $2 and
over are tax
deductible

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