Student Membership of AUUG Inc.
Application & Tax Invoice
AUUG Incorporated - ABN 15 645 981 718
Use this invoice to apply for, or renew, student membership of AUUG Inc. A different form should be used to apply for ordinary membership, institutional membership or a newsletter subscription.
To apply for student membership of AUUG Incorporated, please print out this invoice, complete it, and return it the Treasurer. AUUG does not publish the private contact details for its officers; please send email to treasurer@auug.org.au requesting the current treasurer's address.
- If paying for your membership with a credit card, the invoice may be faxed to AUUG Inc. on +61 2 8824 9522.
- Please do not send purchase orders -- payment must accompany this invoice.
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Foreign applicants:
- Please note that all amounts quoted are in Australian Dollars.
- Please send a bank draft drawn on an Australian bank, or credit card authorisation.
- If you require correspondence to be sent by air mail, there is a $60.00 surcharge.
- If you have any queries, please call the AUUG Secretariat on +61 2 8824 9511 or freephone 1800 625 655.
Section A: Personal Details
Surname: _______________________ First Name: ___________________________ Title: _______________________ Position: ___________________________ Organisation: ________________________________________________________________ Address: ________________________________________________________________ Suburb: __________________________ State: ________ Postcode: _________ Telephone: Business: ________________ Private: ___________________________ Facsimile: __________________________ E-mail: ___________________________
Section B: Price
Please tick the box to apply for student membership. Please indicate if international air mail is required.
| Renew/New* Student** Membership |
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$30.00 (including $2.73 GST) | |
| Surcharge for International Air Mail |
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$60.00 |
* Delete as appropriate.
** Please complete Section C.
GST only applies to students in Australia. Rates valid from 1st July 2000.
Section C: Student Member Certification
For those applying for Student Membership, it is required that this section be completed by a member of the academic staff.
I hereby certify that the applicant on this form is a full time student and that the following details are correct.
Name of Student: _______________________________________________________ Institution: ___________________________________________________________ Student Number: ________________________________________________________ Signed: ________________________________________________________________ Name: __________________________________________________________________ Title: _________________________________________________________________ Date: __________________________________________________________________
Section D: Mailing Lists
AUUG mailing lists are sometimes made available to vendors. Please indicate whether you wish your name to be included on these lists:
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Yes |
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No |
Section E: Payment
Pay by cheque
Cheques to be made payable to AUUG Inc. Payment in Australian Dollars only.
For all overseas applications, a bank draft on an Australian bank is required.
Please do not send purchase orders.
OR
Pay by credit card
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Please debit my credit card for A$____________ |
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Bankcard |
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Visa |
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Mastercard |
Name on Card: _________________________________________________________ Card Number: __________________________________________________________ Expiry Date: __________________________________________________________ Signature: ____________________________________________________________
Section F: Agreement
I agree that this membership will be subject to rules and bylaws of AUUG as in force from time to time, and this membership will run from the time of joining/renewal for 12 months.
Signed: _______________________________________________________________
AUUG Secretariat Use Only
Chq: bank _________ bsb _____-_____ a/c ________________ # _________________ Date: ________ $ CC type ___ V# ____________ Who: ______________ Member# __________