Join Exit International Membership of Exit International provides:
• Exit meetings, workshops, Viva seminars (free for members) • Exit R&D results • Local Chapters (inc local coffee & chat) • Peaceful Pill Online Forums (free & exclusive for members on approval) • Exit Newsletter Deliverance • Exit Supporter lapel badge & card
First Name…………............…Last Name…………....…..................…....……… Address…………………………………………….……...………………………
Email………………………………………Date of Birth...................................... Phone………...……………….Occupation.……………………....………………
Exit Membership is A$100 ($110 if in Australia inc $10 gst) (Life Membership is gratefully granted for gifts of $1000 or more)
Visa Mastercard Cash/Money Order Check
Credit Card No……………………………Name on Card…………..............…… Expiry date ……./………………Signature……………..…………...……………
Exit International PO Box 37781 Darwin NT 0821 AUSTRALIA
