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Celtic Studies Foundation

Membership

Would you like to join the Foundation?
Members of the Foundation receive an annual newsletter and invitations to regular events throughout the year,
including public lectures, concerts and the 'Lunchtime Lecture' series.
Please print out this application form, fill it out, and mail to:
Celtic Studies Foundation H69
University of Sydney
NSW 2006
Australia
or fax to the Director, Suzanne Jamieson on +61-2 9351 4729.

 
Celtic Studies Foundation
APPLICATION FOR MEMBERSHIP APPLICATION /RENEWAL

Title:

First name:

Surname:

Mailing address:

Telephone Number with area code:

Facsimile Number with area code:

Email:

I wish to contribute to the Celtic Studies Foundation and enclose a donation of (circle one):

$20 (pensioner/student) $50 $100 $500 $1000 $2000

An annual donation of $50 gives voting rights as a FRIEND MEMBER;
an annual donation of $100 gives voting rights and the right to stand for election to the Council
as a DONOR MEMBER; GOVERNORS (annual donation of $2000 or more) are automatically
members of the Council.
All donations to the University of Sydney are allowable deductions under the provisions of the
Income Assessment Act (Section 78(1)(a).

Please make cheques/money order payable to "The University of Sydney" and post to

Celtic Studies Foundation H69
The University of Sydney
NSW 2006
Australia

If you wish to make your payment through a Credit Card,
please fill in the details below and submit this form.

Please debit my Bankcard Mastercard Visa

Account number:

Expiry date:

Signature: _________________________________________________________

In making this donation I note that my membership of the Celtic Studies Foundation
(which is an entity of the University of Sydney) in whatever category is not dependent
on making this payment. I further note that I expect to derive no personal benefit by
making this donation and I impose no restriction on the Celtic Studies Foundation
concerning how the funds may be applied.

 

 

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