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ASSOCIATE MEMBERSHIP APPLICATION FORM
FOR CORPORATE ASSOCIATE MEMBERSHIP


The Australian Justice

Tribunal

     Your Associate Membership of The Australian Justice Tribunal helps us:
    *   to help Australians in need of pro bono Legal and/or Counselling assistance;
    *   to ensure the eventual delivery of Natural Justice to all Australians in need.
         In support of our application for Associate Membership of The Australian Justice Tribunal ("The AJT"),
         the following details have been completed and the appropriate payment box ticked.

         a)  It is acknowledged that all Associate Members of The AJT must be residents of Australia.

         b)  Associate Membership Categories:   Individual ($60 p.a.)  Joint ($90 p.a.)  Corporate ($250 p.a.)

 
   Corporate Name
Company Officer
Title
Address

City/State
Post Code
Phone
Fax
Mobile
Email
 

Payment Options:
 Direct Deposit via Internet Banking or in person at any Westpac Branch:
Westpac bank account of The Australian Justice Tribunal, BSB 033002,
Account No. 438058.
Date of Deposit
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 Credit Card or Debit Card (MasterCard or Visa):
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After submitting this form, select the Credit Card payment button below.



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