Membership Application

Membership Level

You have selected the Standard membership level.

SEEN's Standard membership package includes several benefits including $100 off a professional EMF home assessment, 20% off a kinesiology body balance, 10% off SEEN merchandise, access to letter templates, info-packs, guidance, public advocacy and more!

Once your payment has been received we will post you out a welcome pack with some free promotional material as a thank you gift to you for joining SEEN. You will also receive a monthly newsletter highlighting the latest Safe EMF news, upcoming events, solutions to help mitigate risk and opportunities for you to get involved.

We have a number of exciting volunteer opportunities available within our subcommittees including: Public Relations, Schools, Health Professionals, and Council-Community Engagement. Although you are not required to do so, we are happy to help you find something that meets your interests and in turn help you, help us, create and an EMF safe future for all. View Safe EMF Education Network Constitution Here The price for membership is $30.00 every 12 Months. A reminder email will be sent to you when your subscription is due for payment. You can let us know at any time if you wish to cancel your annual membership subscription.

Thank you for joining us, together we can make a difference.
Warm regards,

The SEEN Committee

Safe EMF Education Network Inc. (SEEN)
ABN 53 126 220 057
108 Longwood Road, Heathfield, SA, 5153
SEENinaction@protonmail.com
www.seen.org.au

The price for membership is $30.00 every 12 Months.

Account Information Already have an account? Log in here

Username

Password

Email Address

First Name

Last Name

Street Address

Suburb

State

Postcode

Occupation

Professional Experience

Referred by: (Name of Member supporting your application)

The ongoing annual membership fee is $30, payable every 12 months. The Committee thanks you for your support and any donations made to SEEN to assist us with our work would be greatly appreciated. Membership fees and donations will be used for operational costs, and to action campaigns, programs and activities, as approved by the Committee. Programs and campaigns will be published and updated on the SEEN website.

Do you currently live, work or study in close proximity (within 500m) to telecommunications infrastructure?

Yes

Do you wish to oppose existing or proposed telecommunication installations near your home/work/school?

Yes

Are your child(ren) being exposed to electromagnetic radiation (EMR) at school or daycare without your consent?

Yes

Do you (or your family) experience symptoms of electro-hypersensitivity (EHS)?

Yes

Please feel free to describe your situation and/or symptoms in further detail:

Do you wish to volunteer in SEEN?

Areas of interest

Full Name LEAVE THIS BLANK

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

By checking the box below I do hereby apply to become a member of Safe EMF Education Network Inc (SEEN). Once membership has been approved, I understand that I am bound by the constitution of the association and agree to adhere to the rules of the association as per the Associations Incorporation Act 1985 (SA). I agree to pay my membership subscription fee every 12 months to continue my membership with SEEN.

Payment Information We accept all major credit cards

Card Number

Expiration Date

CVC

I Agree

Processing...

Membership Level

Account Information Already have an account? Log in here

Billing Address

Payment Information We accept all major credit cards

Safe EMF Education Network

facebook.com/seeninaction

SEENinaction@protonmail.com

Adelaide, South Australia