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ANNUAL MEMBERSHIP RENEWAL - DUE NOW
DeafBlind Association (NSW) Inc.
Individual fee - $5.00
Organisations with annual income < $100K fee - $  50.00
Organisations with annual income > $100K fee - $100.00
Donation - $...............
Name:.......................................................................
...................................
Address:....................................................................
...................................
.....................................................State:.................
Postcode:.....................
Birthday: ....................................... (you don't have to include
the year)
Phone Number:........................................................
Fax Number: ............................................................
Mobile:
.....................................................................
E-mail address:........................................................
Preferred contact: (Mail / Phone / Fax / Mobile / TTY / SMS / Email)
RAINBOW NEWS - the newsletter of the DeafBlind Association (NSW) Inc. - is
produced monthly, 11 times each year. In which of the following formats
would you prefer to receive your newsletter: E-MAIL / PRINT / BRAILLE /
AUDIO TAPE / DISKETTE - please circle
If in print, what size font would you prefer it in?: 14 Point / 18 Point /
24 Point / 30 Point / 36 Point


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