Membership Form

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Membership Form

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PICPA New Member Application

The undersigned hereby applies to become a member of PICPA Australia and agrees to be bound by its constitution and to support all the projects and activities of the organisation and its members, in accordance with its By-Laws.

Membership details

These details will be used for your membership listing with PICPA Australia.

Full Legal Entity

Full Trading Or Business Name

Managing Director / CEO / Principal

Street Address

City / Town / Suburb

State

Postcode

Postal Address

Website Address (for link)

Email Address

Telephone No.

Mobile No.

Photo ID

Upload a clear photo of your government-issued ID (JPEG or PNG, max 5 MB).

Nature of business

Describe business activity

Membership information

This section defines your organisation's activities more precisely and helps the Chapter make relevant opportunities available.

Number Of Employees (including principals and part-time)

Avg Annual Turnover (optional)

Preferred Membership (select one)

Annual Fee — $110.00First Time Joining (Jan – Jun) — $110.00First Time Joining (Jul – Dec) — $55.00

PICPA Banking Details

BSB: 012 370
Account Number: 3354 10191

Membership fees are tax deductible.

Rodi Orantia, Registered Tax Agent