International Volunteers
for Peace Membership Form
Please
fill out the form, print it out, and send it, together with a money order /
cheque made payable to IVP Australia to:
International Volunteers for Peace
499 Elizabeth Street
Surry Hills
NSW 2010
Alternatively, payment can be made by electronic transfer - bank account details
below.
|
International Volunteers for Peace Membership Form |
|
|||||||
Title: |
Mr Mrs Miss Ms |
State: |
|
|||||
First Name: |
|
Postcode: |
|
|||||
Surname: |
|
Phone: |
|
|||||
| Mobile: | ||||||||
Address: |
|
Fax: |
|
|||||
Suburb: |
|
E-mail: |
||||||
| Membership: |
|
|||||||
| Payment | I
would like to pay by :
Account Name:
International Volunteers for Peace |
|||||||
| How did you hear about us? | ||||||||