IFA FRIEND MEMBERSHIP APPLICATION
First name:____________________________________ Phone:(__)_____________(W)
Surname: ____________________________________ (__)_____________(H)
Address: _____________________________________________________________
Suburb: _________________________State: ________________Postcode: _______
Occupation: ____________________________________________________________
Email: ____________________________________ Mobile Phone _____________
Reason for joining the IFA:
_______________________________________________________________________
_______________________________________________________________________
* Please note Friend membership with the IFA runs from January 1st to December 31st.
|
Australian |
Overseas |
||||
| Fee | Jan – Dec | July- Dec | Jan – Dec | July - Dec | |
| Membership | $50 | $25.00 | $90.00 | $45.00 | |
| GST 10% | $ 5 | $ 2.50 | $ 0.00 | $ 0.00 | |
| Total | $55 | $27.50 | $90.00 | $45.00 | |
(office use only F ....................................................................……………………………………………........................)
I enclose my: (circle payment method) Cheque / Money Order / Credit card for $_______
Please charge this fee to my : (circle one card) MasterCard / Visa / Bankcard
| Card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ | Expiry date: __ __ / __ __ |
Cardholders signature: ___________________________________________________
Return to: IFA Australian Branch Inc, PO Box 215, Burwood, NSW 1805 Australia
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