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               APPLICATION FOR MEMBERSHIP

I, Dr/Mr/Mrs/Ms (full name of applicant)___________________________

Address______________________________________________________

Postcode______

Email______________________ Phone_______________

hereby apply to become a Member of the Australian Flora Foundation. I agree to be bound by the rules as expressed in the Memorandum and Articles of Association approved April, 2002 and amended November 2005. Link to Memorandum and Articles. Please find enclosed my Membership Fee of $25, due each January, with my tax-deductible donation to the Research Fund of $

Total: $________ Signature______________________________________

NOMINATION

I (full name)__________________________________________________

Signature_____________________________________________________

being a Member of the Foundation nominate the applicant.

and

I (full name)___________________________________________________

Signature______________________________________________________

being a member of the Foundation second the nomination of the applicant.

Send this form with your payment, made out to the Australian Flora Foundation, to:
Hon. Treasurer, Australian Flora Foundation, Box 41, Holme Building, University of Sydney, NSW 2006.

If you do not know any Members of the Foundation, we will find a nominator and seconder for you.