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Membership Application Form - 2003
(Corporate / Professional Body / Association / Other)

Please note that there are 2 steps to follow.

1. Complete the form on this page and then click 'Continue' at the bottom.
2. Verify the details on the following page, and then print that page by selecting the 'Print' button.

Once the form is printed out and signed it then needs to be mailed with your cheque to the address provided on the form.


  DETAILS OF ORGANISATION
Name of Organisation:
Address:
 
Suburb/Town:  State:  Postcode:
Phone :   Fax:
Website address :
  APPLICANT DETAILS
Title:  Surname:
First Name(s):
Your position in organisation:
Address (or 'as above'):
 
Suburb/Town:  State:  Postcode:
Phone (business hours):   Mobile:
Fax:   Email:
  OTHER USEFUL INFORMATION
Expert fields covered
by your organisation
(if any):
   
  Are you interested in the EWIA running professional skills training for your organisation,   eg. Report writing or courtroom skills?

  Yes
  No
If yes, what areas?
  
  On behalf of my organisation I wish to apply for:

Corporate Membership ($2,200 per annum- incl GST) or;
State/Federal Government Department Membership ($11,000 per annum- incl GST)
Foundational Sponsorship for the amount of: $
(Minimum contribution of $11,000 incl GST)
   
 
 

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