Membership Application & Direct Debit Authority

Before you start

You will need the following things:

• The BSB number and account number of your bank account.

• Direct Debit is not available on all accounts. If you are unsure, please check with your bank.

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

Newcastle, Northern & Tasmanian Applicant - STANDARD TICKETNewcastle, Northern & Tasmanian Applicant - LOW INCOME TICKETSouth Australian Applicant - STANDARD TICKETSouth Australian Applicant LOW INCOME TICKET

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:

Direct debit authority

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

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

hereby authorise the AMIEU (APCA User ID Number: 061436) and request that you, until further notice in writing, debit my/our account described in The Schedule below any amounts which the Australasian Meat Industry Employees' Union 064136 may debit or charge me/us through the Direct Debit System.

I/We 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 to this request or any authority or mandate;

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

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

The Schedule

All details must be supplied.

Name of Financial Institution:

Account Name(s):

BSB Number:

-

Account Number:

Direct Debit Option:

--please select--Half YearlyMonthlyWeekly - WednesdayWeekly - Friday

Note: If no choice is made, the default direct debit is weekly on a Wednesday. Monthly direct debits are taken on the 1st business day of each month.

Declaration

I hereby declare the above information to be true and correct.