APPLICATION FOR INDIVIDUAL AND FAMILY MEMBERSHIP

          
            I wish to become a member of People In Control 

        
          Here is my contact information

Name
Title
Phone
Email
 Address
 
City
State
Postcode
Country

Here is a description of my current situation and my interest in People In Control 



 

INDIVIDUAL AND FAMILY MEMBERSHIP

 Fee
General $55
People In Control  Set-up fee (first year only) $220
People In Control  Annual fee in second or subsequent years $55
   
I will send a cheque/money order to
Social Enterprise Partnerships
PO Box 159
Yarraville Vic 3013
OR  
I will pay by EFT transaction: Bank: Commonwealth Bank of Australia
Account name: Social Enterprise Partnerships Ltd
BSB: 062 218
Account number: 1007 2945
 
Please send a tax invoice.
    

Back to Membership Page

         PLEASE NOTE:  All membership applications are subject to approval by People In Control.
         Applicants are asked to read the membership categories carefully and select the appropriate
         one. People In Control reserves the right to amend the registration/membership category
         selected in this form if it is not correct.
         PRIVACY STATEMENT:  Your details will be held in the strictest confidence and
         will not be passed onto a third party.

          Social Enterprise Partnerships Ltd
          ABN 47108742098
          PO Box 159
          Yarraville Vic 3013