AUTHORISATION FOR THE RELEASE OF MEMBER INFORMATION

In accordance with the Privacy Act 1988 the Anthroposophical, Rudolf Steiner
Society Ltd. seeks to protect the private information of all members as outlined in
both the Information Privacy Principles and National Privacy Principles.

In the event a member would like to make their contact details available to other
members, the below form must be completed and submitted to a board member.

IMPORTANT: You are not obliged to grant anyone access to information

regarding you, this authorization form is strictly optional for members.

Section A

I hereby authorize the below selected contact information to be provided to fellow

members [select all that apply]:

Phone Number

Email Address

Mail Address

Print Name:

! ! ! ! First! ! ! ! Last

Signature:
Date: DD/ MM / YYYY

Once completed please return signed and dated form to a board member via:

Mail Email In Person

Attn: St Johnʼs Group sydney@anthroposophy.org.au R.S. House

Rudolf Steiner House 307 Sussex St.
307 Sussex St Sydney NSW 2000
Sydney NSW 2000

Anthroposophical, Rudolf Steiner Society Ltd. ABN: 68 000 017 836