Shelter NSW membership application form/Around the House subscription form

Tax invoice

Shelter NSW Incorporated
ABN 95 942 688 134
Suite 2, Level 4, 377-383 Sussex Street, Sydney NSW 2000

Annual fees, inclusive of GST
Effective from 1 July 2008

Membership fee:

Individual: waged $39, unwaged $11

Organization: small $65, medium $95, large $120

Organizational membership rates are based on a sliding scale. We consider an organization with a total annual income of $0-$50,000 as small; $50,001-200,000 as medium; and over $200,000 as large.

Subscription to Around the House only:

Individual: $52
Organization: $121

Take out a subscription if you want to get Around the House and the Member eBulletin but do not want to become a member of the organization. Members do not need to subscribe to Around the House and the Member eBulletin; they get them free as a membership benefit.

Membership details

Please tick appropriate boxes.

Yes, I would like to join/renew my membership/subscription to Shelter NSW

__ This is about a membership

__ This is about a subscription

Name:
Organization (if applicable):
ABN:
Postal address:
Postcode:
Phone:
Fax:
Email:
Service type (if applicable):

Payment options (Please tick appropriate boxes)

__ I/we enclose cheque/money order made payable to Shelter NSW, or cash, for $ ____________

__ Please charge my credit card:

____ Visa ____ Mastercard, for $ ____________

Card number:
Cardholder’s name:
Expiry date:
Verification no:
Signature:
Date:

This form serves as a tax invoice for GST purposes on payment. Please keep a copy for your records.

__ Yes, I consent to you sending me information about Shelter activities by email, such as the Member eBulletin.

Print this form, complete, and fax to (02) 9267 5001; or post with your cheque/money order to Shelter NSW, Suite 2, Level 4, 377-383 Sussex Street, Sydney NSW 2000.

Updated 21-Aug-2008
Shelter NSW