Affiliate (Corporate)
Membership Application
Gold Coast
PO Box 2477, Fortitude Valley BC. Qld. 4006
Phone: (07) 3257 3927 Fax: (07) 3257 3932
Corporate member name:
Address:
Postcode:
Phone:
Fax:
Main registered delegate's name:
Email:
** Three additional registered delegates may be nominated
Delegate 2 Name:
Email:
Delegate 3 Name:
Email:
Delegate 4 Name:
Email:
ARAMA membership fee for the membership year
1 October 2009 - 30 September 2010
is:
Affiliate (Corporate Members)
$858.00
including GST
Pro rata fee in first year
Month Joined
Affiliate (Corporate Members) Fee
1 October - 31 December 2009
100% of $780.00 + GST
1 January - 31 March 2010
75% of $780.00 + GST
1 April - 30 June 2010
50% of $780.00 +GST
1 July - 30 September 2010
(NIL provided the fee for next year is paid with the application)
Payment is attached of $
............................
I wish to apply for membership of the ARAMA Queensland Inc - Gold Coast, and enclose my membership fee for the current year. I agree to adhere to the objectives, ethics and rules of the Association.
Signed:
.............................................................
Application proposed by:
Name:
.......................................
Signed:
......................................
Application seconded by: Name:
.......................................
Signed:
......................................
When you have completed this form, PRINT IT, sign it, make out your cheque to ARAMA for the amount calculated and then MAIL the signed form and the cheque to address on the top of the form.