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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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