Membership application form

We ask for a minimum annual donation of $A20 to cover administrative and mailing costs
(includes "InHarmony", our bi-monthly newsletter).

Enter optional comments about our material in the space provided.

Name Address City and Country Phone & fax no.s E-mail address Homepage address

ACTIVITY CIRCLES - Please Tick:

CENTRE - Diane West: Co-ordination, Secretarial, Promotions, Events, Projects, Functions, Workshops, Information (Tape, Video and Book Library), Affiliations.
RESOURCE EXCHANGE - Judith Gray: Funding, Brokering, Trading, Economics, Barter (LETS system).
COMMUNICATION - John Campbell: Public Relations, Publications, Electronic Media (Radio, TV, Email & Internet), Film & Video Production, contact with other World Harmony Centres.
SCIENCE & TECHNOLOGY - Ross Cianci: Research & Development, latest Transport and Energy sources, Building materials and techniques, Inventions.
ENVIRONMENT - Jeanette Ballinger: Eco Villages, Agriculture & Horticulture (Organic, bio-dynamic, Permaculture), Wildlife, Eco-living, Pollution.
HEALTH & HEALING - Helen Sharp: Nutrition, Therapeutics (uniting Allopathic medicine and Natural therapy), Breathing & Exercise.
ARTS - Vivian Freeman: Theatre and Film, Music, Dance, Drama, Literature, Poetry, Painting & Drawing, Crafts.
EDUCATION - Josephine Christensen: (Making learning fun) Teaching reform for adults and children (Steiner, Montessori, Accelerated learning, NLP).
PERSONAL DEVELOPMENT - Ignaz Amrein: Character Development, Raised awareness (Meditation).
INTERCULTURAL RELATIONS: Uniting the nations and cultures of the world.
ELDERS - Bob Glassborow: Seeking the wisdom and experience of our Elders by all members of the community to benefit, especially our Youth.
YOUTH - Adam Lancaster: Interested young people having fun working (and playing) with others who want to help make this planet a better place to live.

Please, check for correctness and submit.
to start again or "I'll think about it..."

Annual Investment renewed each April
(Apr - Jun $A20, Jul - Sept $A15, Oct - Dec $A10, Jan - Mar $A5)

INVESTMENT
DONATION
=============
TOTAL $
$
$

How did you hear about World Harmony?

Forward to: World Harmony (Victoria), PO Box 55, Upper Ferntree Gully, Vic, 3156
Phone: (61 3) 9754 2851 Fax (61 3) 9753 5429

WORLD HARMONY MAIL ORDER SHOP

You may order these items from our current stocks. Please tick the boxes below and forward to World Harmony with your remittance

Code Qty  Description                    Size  Amount incl p&p  Total
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
001         The Constitution Booklet                $2.50

002         The Philosophy Booklet                  $2.50

003         The Pollution Solution                  $2.50

004         Victorian t-shirts                     $23.00

                       Cheque enclosed     Total   $