Application for Membership
Email address *
First Name *
Your answer
Surname
Your answer
Address *
Your answer
Phone
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Mobile
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What skills or areas of interest would you like to contribute to or focus on as a member
Your answer
How did you hear about the society
Your answer
Declaration *
Yes
I subscribe to the Objects of the ACT Humanist Society Inc. (see http://bit.ly/1QPX711) and agree to abide by its Rules.
I subscribe to the Values of the ACT Humanist Society Inc. (see https://bit.ly/2Tw3ATI)
A copy of your responses will be emailed to the address you provided.
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