Voting Member Application Form - Palestinian Christians in Australia

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Voting Member Application FormSusan Wahhab2022-03-18T18:10:52+11:00

Voting Member Application Form

Application for Palestinian Christians in Australia Only

Name(Required)

First Last

Email(Required)

Phone

Your City(Required)

Age(Required)

Please enter a number from 18 to 100.

If your age is less than 18 then parents can join.

Reason for joining as a member and how did you hear about us

In a few words state if you are of Palestinian Christian background and live in Australia.

Voting Membership for 2025FY (1/7/2024 - 30/6/2025). Must be Palestinian Christian in Australia(Required)

Individual Membership Fee ($50 paid annually)

Individual Concession (student, senior citizen) Fee ($25 paid annually)

Add Donation (optional)

Would you like to sponsor a university student in Palestine? ($750 AUD per student)

Yes

No

Sponsor a student

Price: $ 750.00

Quantity:

Total

Credit Card

Card Details

Cardholder Name

Do you want to be added to our mailing list?(Required)

Yes

No

Consent

I agree to the PRIVACY POLICY

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