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 Page 1 of 2 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] Page 2 of 2
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