会员申请表

                          

MEMBERSHIP FORM

Australian Chinese Building Association


All information you provide us will be kept strictly confidential and only utilised for fulfilling membership requirements. Please help us provide you with the best service possible by completing all the information required below.

Member Details

First Name:

Last Name:

Date of Birth:

▢ Female               ▢  Male

Company:

ACN/ABN

Position:

 

Address:

Phone:

Mobile:

Fax:

Email:

Membership Details

What Business do you have?

▢ Builder Lic Number: __________________

▢ Developer

▢ Real Estate Agent  Lic Number:_________

▢ Tradesman  Lic Nimber:_______________

▢ Marketer/Advertiser

▢ Landscaper    ▢  Electrician    ▢ Plumber

▢ Building Supply:_____________________

▢ Air Conditioner   ▢  Painter     ▢ Carpenter

▢ Geotechnical Engineer

▢ Bricklayer    ▢  Painter            Carpenter

▢ Structural Engineer

▢ Roofer         ▢  Demolisher      ▢ Plumber

▢ Architect                 ▢ Town Planner

▢ Plaster    ▢  Fencer   ▢ Glazier ▢ Laborer

▢ Lawyer/Solicitor    ▢ Consultant

Other

 

Business info
Years in Business: ________________                  Number of Employees _______________
Turnover of Business: Under $200,000   $200,000-$500,000   $500,000 - $1,000,000
  $1,000,000 - $5,000,000  $5,000,000 - $10,000,000  $10,000,000 - $20,000,000
  $20,000,000 Above _______________________

 



DECLARATION

I acknowledge that I have read the constitution and understood and agree to the conditions of membership with ACBAI. I warrant that all information provided in this application is true and correct.

SIGNATURE ________________________________________DATE:__________________________

Payment

Membership fee inclusive of GST

$

Enclosed is a cheque or credit card authorisation for the total cost of $                                          

▢  Cheque

▢ Credit Card

Please make cheques payable to the Australian Chinese Building Association Incorporated

▢ M/Card (incurs a 1.5%)        ▢ Visa (incurs a 1.5%)    ▢ Amex  (incurs a 3% surcharge)


Cardholders Name


Card Number:  _ _ _ _   _ _ _ _   _ _ _ _   _ _ _ _      Expiry Date: mm/yy     _____  /  _____  

           

Signature


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