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Proportional Representation Society of Australia (Australian Capital Territory)
MEMBERSHIP APPLICATION FORM
Telephone +61262958137  
Fax   +61262425909  
14 Strzlecki Crescent, NARRABUNDAH ACT 2604
 
Prospective members might be interested in joining the Australian Capital Territory Branch of the Proportional Representation Society of Australia. By joining the branch you automatically become a member of the PRSA. The Society works to have committees, municipal councils, parliaments etc. elected by quota-preferential proportional representation. Branches of the Society cover all States and the ACT. Your membership and, if you also wish, your involvement in conveying our point of view to Governments, "Letters to the Editor", etc. would be greatly appreciated. Members will be notified of the time and place of our Annual General Meeting and will be sent our quarterly newsletter "Quota Notes" free. 

To the Treasurer, ACT Branch, Proportional Representation Society of Australia 
38 French Street HACKETT ACT 2602: 

I hereby apply for membership of the PRSA (ACT) in the category ticked in a box below, and attach my cheque accordingly: 

 
Ordinary Annual Membership (from 1st July to 30th June) 
$15.00
 
Ordinary Annual Membership (from 1st January to 30th June)
$7.50
 
Life Membership
$200.00
 
Donation to PRSA (ACT) $..........  
TOTAL PAYMENT $..........  
 
Signed   Date
20.... 
Mr/Mrs/Miss/Ms/Dr      
Address   Postcode  
Telephone (Private)   Telephone (Business)  
Fax (Private)   Fax (Business)  
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