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         ABN: 53 150 698 516


ASSOCIATE MEMBERSHIP APPLICATION FORM
FOR JOINT 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 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.)

* Please enter the Payment Option you have chosen.

If paying by Direct Deposit, also enter the date of deposit.
Our bank details are:
Westpac bank account of the Australian Justice Tribunal,
BSB 033002, Account No. 438058.

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we accept MasterCard, Visa and PayPal payments.
For all these types of payment, please use the red button below
which links you to our payment site at PayPal.
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