Ryde Business Forum Inc., ABN 74 997 351 068
ryde business forum
PO Box 84, Ryde NSW 1680 Tel: 98074999 Fax: 9807 4988
email . www.rydebusiness.com.au
Application for Corporate / Individual Membership
1. /personal information
Name:Position:
Company: ABN: .
Address:
Postal Add:
Telephone: Email: Mobile:
Facsimile: Website:
Twitter page: Facebook page:
2. / COMPANY DETAILS:
Date Company established in local area: ______
Brief description of Company:
3. / delegate details:
Do you wish to nominate a delegate: Yes No
Name: Position:
4. / Our membership year runs from July to June, but we offer quarterly pro rata rates so you can join any time of year. Prices below include GST. The figure for joining Jul-Sep is a full twelve months’ membership. New members joining us from April each year are invoiced for 15 months’ membership, as our renewals are also sent out at that time.
Level of Membership / Join in Jul-Sep, pay: / Join in Oct-Dec, pay: / Join in Jan-Mar, pay: / Join in Apr –Jun, pay:
Patron Membership (one off payment followed by Level 1 Corporate)
Level 1 Corporate (50+ employees)
Level 2 Corporate (5-49 employees)
Level 3 SOHO/Micro/Individual (0-4 employees) / $5000.00
$1155.00
$580.00
$230.00 / $5000.00
$866.25
$435.00
$172.50 / $5000.00
$577.50
$290.00
$115.00 / $5000.00
$1443.75
$725.00
$287.50
I wish to apply for Level ______membership of Ryde Business Forum
Signature: Date:5. /
payment details (Please note we don’t accept Amex or Diner’s Club)
£ Mastercard / £ Visa / £ EFT: BSB 012 290Account 101949776 / £ Cheque
Credit Card:
Expiry Date: / Cardholder Name (PLEASE PRINT)
Signature / Amount: $
APPLICATION FORM (Cont)
6 /WHICH AREA IS OF MOST INTEREST?
Government Lobbying/Liaison / NetworkingTax, Finance, Compliance, Monetary / Human Resources
Sales, Marketing, Communication / Trade, International Business
Facilities, Security / Logistics
Other (please insert)
What is your main objective in joining the Forum?
Number of Full Time Employees: 100+ 50 – 100 6 – 50 6
Would you like us to cc; other members of your team: Yes: No
If so, please provide details below:
Company Contacts: Contact No: Email:
CEO:
Financial Controller
Human Resources Mgr:
Facilities Mgr:
Logistics Mgr:
IT Manager:
Sales & Marketing Mgr
Business Devt Mgr
Other:
Are you a member of a Chamber of Commerce in Ryde (or elsewhere)? If so, which one?
Are you happy for us to put your contact details (website, your name, email and office phone number) on our website directory?
Yes No
7. NSW BUSINESS CHAMBER ALLIANCE MEMBERSHIP OPT-IN
Yes, I would also like to opt-in to the NSW Business Chamber Local Chamber Alliance Program.
NSW Business Chamber membership declaration
I, being the Applicant (or authorised by the Applicant) hereby apply for the Local Chamber Limited Membership of NSW Business Chamber (“NSWBC”) as part of the Alliance with our Local Chamber (referred to above), and agree to be bound by the NSWBC constitution and terms and conditions as amended from time to time and available on the NSWBC website at www.nswbusinesschamber.com.au/termsandconditions.
I acknowledge and agree that our NSWBC membership benefits and entitlements are as set out in the Schedule to this application. I understand and agree that our membership of the NSWBC is for a period of 12 months and the renewal of our membership for further periods of 12 months each is subject to our Local Chamber renewing the Local Chamber Alliance Agreement with NSWBC each year and our business continuing to be a member of our Local Chamber. I understand and agree that our NSWBC membership benefits and entitlements may vary by agreement between the NSWBC and our Local Chamber.
Ryde Business Forum Inc., September 2011