Training Membership Application Form/ Tax Invoice July

Training Membership
Application Form/
Tax Invoice
PO Box 390
Seven Hills NSW
1730
T: 02 9620 6172
F: 02 9620 6173
E: [email protected]
W: www.fwtdp.org.au
ABN: 54 960 560 044
July 2015 – June 2016
INDIVIDUAL NAME
OR
ORGANISATION NAME
For large/multi-site organisations: please list all outlets/programs covered by this Membership:

Does your organisation have
PBI Status
DGR Status
INDIVIDUAL MEMBER DETAILS or ORGANISATION CONTACT PERSON
First Name
Surname
Position
Postal Address
Office Phone
Mobile
Email Address
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PAYMENT OPTIONS
1. Direct Deposit - please transfer complete payment and then forward your completed application
form to us via email (or fax or post).
Account Name: FWTDP BSB: 062-121 Account Number: 28043231
Description: please include your Organisation name
2. Cheque - Include this form with your cheque and post to FWT+DP.
Note this form constitutes a Tax Invoice upon payment. All prices are GST Inclusive.
Membership allows a member organisation to send their workers
to a variety of training events at ‘SPECIAL MEMBER PRICES’.
Please select
Organisation with more than 50 FTE employees
$990.00 per annum
Organisation with 16 - 50 FTE employees
$550.00 per annum
Organisation with 7 -15 FTE employees
$330.00 per annum
Organisation with 1 – 6 FTE employees
$198.00 per annum
Individual
$44.00 per annum
Workshop Registration Fees
*Conditions Apply - see FWT+DP
website
*Member Rate
*Non-Member Rate
Registration fee per day
(includes Morning tea & Lunch)
$88
$148.50
Disclaimer - this membership is for training events only and does not include becoming an Association Member. If you
wish to become a member of Family Worker Training + Development Programme Incorporation’s Association please
contact the FWT+DP Office on 9620 6172 or email [email protected]
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