LogoFriends of the Earth Brisbane
PO Box 5702
West End, Brisbane, QLD 4101
Phone: 07 3846 5793 Fax: 07 3846 4791

FoE Brisbane Order Form

Step 1. What you want:

Please check appropriate
Supporters application form Merchandise order

Step 2. Your details:

Name:

Address:

Postcode: Phone:

Email: Would you like to join our monthly events e-list?

Date

Step 3. Choose your Supporter Category:

Supporter categories (check one)
Waged: $50
Low income: $35
Youth: $20
Community groups and households $100
Other organisations: $200
Gift Certificate: $50 (includes supporter entitlements + gift card)

Supporters receive:

Supporters are encouraged to become actively involved in Friends of the Earth projects and campaigns. Becoming active in the organisation gives you the opportunity to become "Active members" with full decision-making rights.

Step 4. Financial Details & Merchandise order form:

Item name: Number required: Price each: Subtotal:
eg. People & Planet Diary 2007 two 18.00 36.00
eg. Supporter fee - waged one 50.00 50.00
    Donation:
    Postage*:
    TOTAL:

* Postage is $5 for the first item + $2 for additional items. Postage can be negotiated on large orders. Phone us to find out.

Step 5. Payment Method:

Check one
Postal Order
Cheque
Credit Card

Credit Card Details: Name on card: Type of card:

Expiry date: Number:

Step 6. Say hello to FoE:

Do you have anything you'd like to tell us?

Step 7. Print: Click here to print me!

Step 8. Mail this form with payment to:

Friends of the Earth Brisbane
PO Box 5702
West End, Brisbane, QLD 4101
Phone: 07 3846 5793 Fax: 07 3846 4791

Thank you for your custom! :)