Women in Business

Incorporated INC. 9886778

Email to: womeninbusiness2536@gmail.com
Or post to the Public Officer, Women in Business (South Coast NSW),
C/- 82 Jack Reid Road, Bawley Point 2539.
APPLICATION FOR MEMBERSHIP

I (Name)of (Address) ......................................

...................................... Company (if applicable): ......................................................................
Hereby apply to become a member of the above named incorporated association. In the
event of my admission as a member, I agree to be bound by all of the rules of the
association for the time being in force of my membership which is subject to payment of the
scheduled fees.
... Signature of Applicant
..........................Date . Contact Phone Number
Email Address: .
Postal Address:

I (Full name) a member of the association nominates

the applicant, who is personally known to me, for the members of the association.
.. Signature of the Proposer
.... Date

Membership Fee:
$35.00 for individuals and small businesses less than 20 employees
$100.00 for corporations employing 20 or more
Membership is valid from date of payment to 30th June of the respective year and
renewable annually
Payment:
Cheque /postal order/ cash addresses to Women in Business to above postal address
Direct Deposit Details: St George, BSB 112-879 Account# 437302503. Please state
your name or company as reference and email this form as above if you make a
direct deposit