By completing this form you are applying for membership of the national organisation, The Wilderness Society, and where relevant, the local Wilderness Society organisation, which means whichever is relevant of the Wilderness Society (Queensland) Inc., The Wilderness Society Newcastle Inc., The Wilderness Society (Sydney) Inc., The Wilderness Society Victoria Inc., The Wilderness Society (Tasmania) Inc., The Wilderness Society (South Australia) Inc. or The Wilderness Society WA Inc. If you move permanently to another state (or outside the Sydney or Newcastle region if relevant), then this application will be treated as an application to join the relevant local Wilderness Society organisation, if any, in your new place of residence. Your membership of the original local organisation will lapse unless you apply then to remain a member of that organisation. Your membership of The Wilderness Society will remain unchanged.
The Wilderness Society Inc
GPO Box 716, Hobart TAS 7001, Australia
Phone: (03) 6270 1701 | Fax: (03) 6231 6533 | Email: email@example.com
Membership enquiries, donations: Freecall 1800 030 641 | Email: firstname.lastname@example.org
ABN: 62 007 508 349
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