Membership and Donation Form

Yes, I would like to go on the Business Ethics mailing list.

* The Business Ethics mailing list is used to provide information about forums and other events organised by our partners. This list will not be distributed to any third party.

Yes, I would like to become a member of the Edmund Rice Business Ethics Initiative

Individual $110 (inc. GST) Corporate $1100 (inc. GST)

Alternatively, I would like to make a donation to assist the work of the Edmund Rice Business Ethics Initiative (please circle amount):

$10 $20 $50 $100 $500 Other Amount $..................

I enclose a cheque/money order (please circle) made payable in the above amount to 'The Edmund Rice Centre'. OR

Please Debit my Visa/ Master Card/ Bank Card (please circle) for the amount above.

Card Number:

Expiry Date /

Signature:........................................

Name:.....................................................................................................................

Title:.......................................................................................................................

Organisation:........................................................................................................

Address:..................................................................................................................

...............................................................................................................................

Email:.......................................................... Phone:................................................

Comments:..............................................................................................................

...............................................................................................................................

...............................................................................................................................

Please print out this form and send (along with any cheques or money orders) to:

Edmund Rice Business Ethics Initiative
PO Box 2219, Homebush West, NSW 2140.