ASCM—JG Subscription

Complete this form and send it to the address below.

Subscriber Information

Name
Street Address
Suburb
State
Postcode
Telephone	()
E-mail

Payment

JG subscription is free for students and $15 dollars a year (for 3 issues) for everyone else.
I am a student (free)
I am enclosing a cheque
I am paying by direct debit

Please make cheques out to Australian Student Christian Movement. For direct debits, please enclose a copy of the transaction slip. Here is the information you need.

Account Name	Australian Student Christian Movement
Bank	Commonwealth Bank
BSB	062 000
Account Number	0092 2944

Send this form to:

Australian Student Christian Movement
PO Box 4386
University of Melbourne
Parkville VIC 3052

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