AUUGN Newsletter Subscription
Application & Tax Invoice
AUUG Incorporated - ABN 15 645 981 718
Use this invoice to apply for a subscription to AUUGN. A different form should be used to apply for ordinary, institutional, or student membership.
To receive a subscription to AUUGN please print out this invoice, complete it, and return it to the Treasurer. AUUG does not publish the private contact details for its officers; please send email to treasurer@auug.org.au requesting the current treasurer's address.
- If paying for your membership with a credit card, the invoice may be faxed to AUUG Inc. on +61 2 8824 9522.
- Please do not send purchase orders -- payment must accompany this invoice.
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Foreign applicants:
- Please note that all amounts quoted are in Australian Dollars.
- Please send a bank draft drawn on an Australian bank, or credit card authorisation.
- If you require correspondence to be sent by air mail, there is a $60.00 surcharge.
- If you have any queries, please call the AUUG Secretariat on +61 2 8824 9511 or freephone 1800 625 655.
Section A: Delivery Details
Surname: _______________________ First Name: ___________________________ Title: _______________________ Position: ___________________________ Organisation: ________________________________________________________________ Address: ________________________________________________________________ Suburb: __________________________ State: ________ Postcode: _________ Telephone: Business: ________________ Private: ___________________________ Facsimile: __________________________ E-mail: ___________________________
Section B: Price
Please tick the box to apply for a subscription. Please indicate if international air mail is required.
Renew/New* AUUGN Subscriptions |
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$125.00 (including $11.36 GST) | |
Surcharge for International Air Mail |
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$60.00 |
* Delete as appropriate.
GST applies for delivery within Australia. Rates valid from 1st July 2000.
Section C: Mailing Lists
AUUG mailing lists are sometimes made available to vendors. Please indicate whether you wish your name to be included on these lists:
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Yes |
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No |
Section D: Payment
Pay by cheque
Cheques to be made payable to AUUG Inc. Payment in Australian Dollars only.
For all overseas applications, a bank draft on an Australian bank is required.
Please do not send purchase orders.
OR
Pay by credit card
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Please debit my credit card for A$____________ |
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Bankcard |
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Visa |
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Mastercard |
Name on Card: _________________________________________________________ Card Number: __________________________________________________________ Expiry Date: __________________________________________________________ Signature: ____________________________________________________________
AUUG Secretariat Use Only
Chq: bank _________ bsb _____-_____ a/c ________________ # _________________ Date: ________ $ CC type ___ V# ____________ Who: ______________ Member# __________