Membership Application & Credit Card Authority

Before you start

You will need the following things:

• Your credit card details

The Australasian Meat Industry Employees' Union is an Industrial Union of employees registered under the Industrial Relations Act 1996 as amended, and being registered under the Workplace Relations Act 1996 as amended.

The Union complies with the provisions of the Privacy Act 1988 which regulates the handling of personal information about individuals. Your personal information and documentation will not be disclosed to anyone outside of this organisation without your consent.

Details on this page will be sent via secure server.

Type of Ticket

Standard Ticket ($10.50 per week)Low Income Ticket ($7.50 per week)

The Low Income Ticket is only available to workers who earn less than $35,000 a year. See this page for more information.

Membership application

I, the undersigned, hereby make this application for membership of the Australasian Meat Industry Employees' Union, and pledge myself to loyally abide by its rules and any amendments that may be made hereafter.

Name of Member:

Date of Birth:

Address of Member:

Phone / Mobile Number:

Post Code:

Referred by:

Your Email:

Gender:

Employed by (company name, or name of employment agency)

Employer Location:

Employment Status:

--please select--PermanentCasualFixed TermContractorDaily HireUnemployedUnsure

Shift: (your regular work hours):

Work Area:

Credit card authority

By filling in this section, you are authorising the Union to take your union fees from your credit card automatically.

I/We (Card Holder Name(s)):

hereby authorise the AMIEU and request that you, until further notice in writing, debit my credit card as described in The Schedule below any amounts which the Australasian Meat Industry Employees' Union 064136 may debit or charge me through their Bank Merchant Facility.

I understand and acknowledge that:

1. The financial institution may, in its absolute discretion, determine the order and priority of payment by it of any monies pursuant tot his request or any authority or mandate;

2. The financial institution may, in its absolute discretion, at any time by notice of writing to me terminate this request as to future charges;

3. The user may, by prior arrangement and advice to me, vary the amounts or frequency of future charges

The Schedule

All details must be supplied.

Name on Card:

Credit Card Number:

Expiry Date:

CCV/CVV Number:

Payment Option:

--please select--Monthly6 Monthly

Notes:

1. If no choice is made, the default option is Monthly.

2. A pro-rata charge will be made to your credit card when your membership application is received. Please contact the office if you wish to know how much this pro-rata amount will be.

3. After the initial pro-rata charge your following credit card payments will be taken on the 1st day of each month, for Monthly payments, or the 2nd of January and the 1st of July if paying 6 Monthly payments. If the scheduled day lands on a weekend or a public holiday, it will occur on the next business day.

Declaration

I hereby declare the above information to be true and correct. I understand that a pro-rata charge will be made to my credit card.