Donation to Pauline Hanson's One Nation

Name_____________________________Phone (H)_______________Phone(W)_______________

     		                 FAX(H)_________________ FAX(W)_________________

Address:________________________________________________________________________

______________________________________________________Post Code_________________

Do you have any special talents/skills that will help the movement (fundraising,
typing, corporate contacts, media contacts, election campaign experience?)

________________________________________________________________________________


Please make cheques payable to Pauline Hanson's ONE NATION or charge my credit card:

    Bankcard     Visa     Mastercard     AMEX     Diners     Amount $_______________

    Number_________________________                        Expiry Date____________




Name of Card Holder_____________________________Signature______________________


A receipt will be given for all donations made and your donation will be 
added to the on-line target.

Please return to: Pauline Hanson's ONE NATION -
PO Box 2000 Manly 2095 or fax to 02 9976 0285

Further information:- Phone 02 9976 0283 or 02 9976 0284