CPA New Member Details (NSW)

CPA New Member Details

Please fill in all blank spaces for ease of processing your application
MEMBER NAME AND CONTACT DETAILS
Company Name*
Registered Address*
City*
State*
Postcode*
Contact Name*
Accounts Email*
example@example.com
Phone*
ABN*
Masthead Applying for Membership*
Name of Publication
Manager or Editor*
Name of Manager or Editor
Email of Manager or Editor above*
Email of Manager or Editor
Publication Day*
Monday, Tuesday. Wednesday, Thursday etc
Frequency of Publication*
Weekly, Fortnightly, Monthly
Distribution Number/ Circulation *
Book Size*
eg how many pages
First Published*
Date of first edition
Masthead Website*
www.countrypressaustralia.com.au or Facebook address
BANKING DETAILS
Bank*
BSB*
Account No*
MEMBERSHIP

A requirement of CPA membership is that you also need to be a member of your state’s Press Association. Please tick box of membership you are applying for
CPA Membership - $400.00 +GSTNSW Country Press Association - New Member $400.00 (Existing Member, first masthead $500, Second member masthead $300, Third and more mastheads $200) + GSTRegional Media Connect Associate Member - $50.00 +GST
TOTAL MEMBERSHIP FEES:
Total $ of all memberships
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CPA New Member Details