Member Number: Name: Address:
Option 2. Tax Invoice ABN 75149124774
Membership – I want to be a part of the governance of BirdLife Australia
Phone: Email: Username:
Member – General
$79
How to complete this form:
Member – Student
$29
General membership includes the quarterly Australian BirdLife magazine printed and mailed to you (Australian addresses only please – overseas Members receive a digital copy) and online access to EMU and AFO journals Student membership includes a digital Australian BirdLife Magazine and online access to EMU and AFO
Yes! I want to become a Wildbird Protector as well as being a BirdLife Australia Member
BirdLife Special Interest Group Subscriptions
→ Fill options 1 & 2
Yes! I want to become a Wildbird Protector to fund bird conservation. Please discontinue my membership. I just want to remain a BirdLife Australia member to have a say in governance with voting rights at the AGM.
$120
BirdLife International (BirdLife Australia members only)
Please renew my Membership automatically until further notice: Yes
No
Membership and/or Subscriptions Total: $
+ $24
I’m adding a one-off donation to bird conservation: $
......................
.................
(Your monthly and annual donations are tax deductible, but the cost of the printed magazine is not). Wildbird Protector donation receipts will be sent at the end of each financial year.
My preferred payment method for this recurring gift is:
Grand total: $ Credit Card details: Visa
Expiry:
Direct Debit – please complete the debit form overleaf Credit Card – please complete your credit card details
Mastercard
/
Cardholder name: _________________________________________ Signature: _______________________________________________
I request and authorise you to debit my account monthly/annually until I advise otherwise: Signature: _______________________________ Date: ____________ I would like my receipts sent by:
Email:
$48
Credit Card – please complete the credit section below
Add $2 monthly or $24 annually for printed magazine – no need if you’re renewing your Membership! Australian addresses only. All Wildbird Protectors receive the eMagazine for free.
Total:
$70
Direct Debit – please complete the form overleaf
$80
+ $2
$24
My preferred Membership payment is:
$250
$10
$15
Emu Austral Ornithology (BirdLife Australia members only)
Annually:
$30
$50
$22
Western Australian Bird Notes
Wildbird Protector – I want to fund bird conservation! $500
$40
Additional Subscriptions
Option 1.
$80
Australasian Wader Studies Group BirdLife Photography
→ Fill option 2 only
Monthly:
$30
Australasian Seabird Group
→ Fill option 1 only
I’d like to give:
Australasian Raptor Association
I wish to pay by cheque / money order (one off payments only)
Post:
Prefer to sign-up or renew online? To become a Wildbird Protector visit birdlife.org.au/support-us/join-us To renew your Membership visit https://support.birdlife.org.au/birdlifemembership
Questions or need help? Call us toll-free on 1300 730 075 Or email us at
[email protected] Or fax: 03 9347 9323
Please return this form to: BirdLife Australia Supporter Services Suite 2-05, 60 Leicester Street Carlton VIC 3053
