Membership application       Please print this form and post to:- Australian Centre for Lesbian and Gay Research Building H31, University of Sydney NSW 2006 Australia  Name:    Address:     Type of Membership:   Cheque / Money Order for $A:

Annual membership fees within Australia (fees include GST and are tax deductible): $16.50 concession member (annual income under $20,000) $33 annual income between $20,000 and $35,000 $49.50 annual income above $35,000 $77 community organisations $165 sustaining member Annual membership fees outside Australia ($A): $20 concession $50 full membership Donations welcome. Memberships fall due on January 1. All membership fees received after October 1 will be carried forward into the next year.

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