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         ABN: 53 150 698 516


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 Joint Associate Membership of The Australian Justice Tribunal
         ("The AJT"), the following details have been completed.   [If you require a copy of this form, please
         print before submitting.]

         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.)

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Our bank details are:
Westpac bank account of the Australian Justice Tribunal,
BSB 033002, Account No. 438058.

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