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Membership Subscription Renewal Form
36
Questions
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1
Membership Number
(Quote on payment)
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2
Trading Name
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3
Company / Partnership Name
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4
ABN
Please provide your registered ABN number
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5
Business Address
Street Address
Street Address Line 2
City
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
Please Select
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
State
Post Code
Australia
Australia
Australia
Country
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6
Business Postal Address
Street Address
Street Address Line 2
City
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
Please Select
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
State
Post Code
Australia
Australia
Australia
Country
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7
Business Phone Number
Please enter a valid phone number.
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8
Mobile Phone Number
Please enter a valid phone number.
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9
Email
example@example.com
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10
Website
www.example.com.au
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11
Name
First Name
Last Name
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12
Position
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13
Private Address
Street Address
Street Address Line 2
City
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
Please Select
Please Select
New South Wales
Victoria
South Australia
Queensland
Northern Territory
Western Australia
Australian Capital Territory
State
Post Code
Australia
Australia
Australia
Country
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14
Private Phone Number
Please enter a valid phone number.
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15
% Of Shares Held In Company
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16
Name
First Name
Last Name
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17
Position
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18
Sole Trader Name
First Name
Last Name
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19
Sole Trader Licence Number
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20
Sole Trader Licence Expiry Date
-
Date
Day
Month
Year
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21
Company / Partnership Name
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22
Company / Partnership Licence Number
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23
Company / Partnership Licence Expiry Date
-
Date
Day
Month
Year
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24
Qualified Supervisor Name
First Name
Last Name
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25
Qualified Supervisor Q/S Certification Number
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26
Qualified Supervisor Q/S Certification Expiry Date
-
Date
Day
Month
Year
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27
Number of Tradesmen
As of 31 October
Please enter a number
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28
Number of Labourers
As of 31 October
Please enter a number
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29
Number of Apprentices
As of 31 October
Please enter a number
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30
Other (Admin)
As of 31 October
Please enter a number
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31
Total number of employees for subscription
(The number of employees of these entities must be consolidated to determine the subscription paid)
Please enter a number
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32
Category Member
P - Sole Proprietor and/or 1 Apprentice ($486.75 Inc GST)
P1 - Proprietor + 1 to 4 Employees ($612.00 Inc GST)
P5 - Proprietor + 5 to 10 Employees ($806.25 Inc GST)
P11 - Proprietor + 11 to 18 Employees ($1,593.75 Inc GST)
P19 - Proprietor + 19 to 25 Employees ($2,367.00 Inc GST)
P26 - Proprietor + 26 plus Employees ($3,210.00 Inc GST)
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33
I'd like to pay via:
Direct Debit Existing Member – Continue with existing Direct Debit Agreement
Direct Debit New Member – Please print and complete the attached Direct Debit Request (DDR) for Membership and email to info@masterplumbers.com.au.
Cheque - Please send to PO Box 42 Lidcombe NSW 1825
EFTPOS - Please email info@masterplumbers.com.au
VISA - Please email info@masterplumbers.com.au
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34
I'd like to Direct Debit via:
Monthly Payments
Quarterly Payments
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35
Direct Debit Request (DDR) for Membership form
Direct Debit New Members ONLY
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36
Signature
Clear
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