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NTN REGISTRATION: Become a Partner Organisation for $50, or an individual Toxic Avenger for $35.

For the poor but goodhearted, a special new membership fee offer of $5 - we urgently need your help!

TAX INVOICE

I enclose my cheque/money order $ ……… for NTN registration
I enclose my cheque/money order $ ……… as a donation to support the work of NTN

Please print CLEARLY

Mr/Mrs/Ms/Dr/Prof Name: …………………………………………………………………
If applicable:
Organisation: …………………………………………………………...............

Address: .............................................................................................
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Phone: ..........................................………….... Fax: ……………………

E-mail ......................................………………………………………………

Please make cheque payable to: National Toxics Network

Send cheque to: The Secretary, NTN, 12 Craig St.,
East Ballina, 2478 NSW Australia
Email : biomap@oztoxics.org

 



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