Declaration of Biological Truth Australia

Sign as an organisation

Organisational signatory form

This form to be completed by a person in a position of organisational responsibility. All organisational applications will be checked via phone.

The organisation must be located in, have branches/sub-branches in, or have a membership presence in Australia.

Please tick if your organisation qualifies.

Organisation name

Name of person completing this form

Position in organisation

Phone – please provide both organisation phone and mobile of applicant

Organisation address

Address line 1

Address Line 2

City

State

Post code

Web address (URL)

Please upload your organisation’s logo (max 1mb). For larger logos, email them to admin@declarationofbiologicaltruth.au

Choose File

Final checkbox

Yes, everything above is correct and I understand this information will be checked.