If you want to support Ausflag and its work in promoting the cause for a truly Australian flag, please fill out and submit this membership application form! If your browser does not support forms, or if you don't have a credit card, or you don't want to send your credit card details over the internet, you may use our print-out application form which may be posted or faxed to us instead.
Membership |
New Renewal |
| Title and Name | |
| Street Address/PO Box | |
| Suburb/Town | |
| State and Postcode | |
| Telephone (optional) | Home: Work: |
| MEMBERSHIP TYPE The amount to be debited from your credit card is shown for each membership type. Memberships are renewable annually. |
Ordinary ($25) Pensioner/Students ($10) Corporate ($100) |
| Donation I want to make an additional donation of: |
$ |
| Credit Card Type | |
| Credit Card Number | |
| Credit Card Expiry Date | |