IFA STUDENT MEMBERSHIP APPLICATION
First Name: ______________________Surname: ___________________ (office use only S……)
Postal Address: ___________________________________________________________
Town: _________________________________State: ____________ Postcode: ______
Phone: H(__)________________________ W (__)________________________
Mobile: _________________ Email _____________________________________
IFA Course you are currently attending-
Name of Course __________________________________________________________
IFA Course registration number C_______
Please note students can renew membership for one year only, provided you are still attending an IFA accredited course.
Please enclose a photocopy of your current enrolment in an IFA Accredited course
| Student Membership fee | $40.00 | . | $90.00 |
| GST | $ 4.00 | . | $ 0.00 |
| Australian Total | $44.00 | Overseas Total | $90.00 |
(Office use only S....................................................................................................................)
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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