The Non Smokers' Movement of Australia Inc. - Joining Form 2015 Join Up for Clean Air. Ask a Friend to Join. Please print this page now. Complete the details and then mail to Box K860, Haymarket NSW 1240 or Fax to 02-9905-8787. Name: ____________________________________________________________ Address: __________________________________________________________ __________________________________________________________________ Postcode: ________________________________________________________ Phone number: ____________________________________________________ Mobile: ______________________________________________________________ Email: ______________________________________________________________ Fax: ________________________________________________________________ Membership category: ____________________  Fees: __________  Donation: _______ Tick payment method: Credit card ___  Direct debit ___  Cheque attached ___  Send invoice ___ For Cards only: Issued by: Mastercard: ____  Visacard: _____  (Only these two please) Expiry date: _________ Number: ________  ________  ________  ________ Cardholder's Signature: _______________________   For Direct Debit only: Send your direct debit to BSB 062-006 Account 0090-0623 then email your details to nsma@nsma.org.au For Cheques: Please make cheques payable to the Non Smokers' Movement of Australia. For Invoices: Just ask and we will send you an invoice.   Current fees are Individual $55, Household $75, Concession $30 and Corporate $225. Home