LEGAL EDUCATION TEACHERS ASSOCIATION OF SOUTH AUSTRALIA Inc MEMBERSHIP APPLICATION FORM 2012 TAX INVOICE ABN 14 852 335 677 LETASA is a not-for profit organisation and does NOT charge GST PAYMENT OPTIONS – Please select one. Credit Card EFT Cheque Regardless of payment option Membership form must be sent to Membership Secretary Please send notification of EFT to the Membership Secretary with 2012 Membership form. Please complete ALL parts fully Family Name Given Name(s) School/College/Workplace Whenever possible Legal Brief will be sent to a member’s workplace, particularly if on the courier as it reduces cost. Address you wish legal brief to be sent Postcode Work Telephone: Email address Members MUST notify the Membership Secretary of any change of address to guarantee your regular copy of Legal Brief. Membership fee: please circle the appropriate one. Individual $60 Institution $110 Pre Service Teacher $20 Make all cheques payable to LETASA For Credit card payment: Bankcard / Mastercard / Visa Name on card: (circle the appropriate one) Card No: Amount: $ Expiry Date: ___ / ___ Signature: An Electronic Funds Transfer can be made into: SEND THIS APPLICATION FORM AND YOUR Account Name: Legal Education Teachers Association PAYMENT/EFT NOTIFICATION TO: of South Australia Paula Hensing BSB Number: 065 131 Account Number: 1006 4914 Cabra Dominican College, PO Box 57 Reference: School Name (Institutional Membership) MELROSE PARK 5039 or Ph: 81792400 Fax: 8272 9810 Member’s Name (Individual Membership) LETASA POLICY: All 2011 financial members will receive their copy of Legal Brief in Term 1, 2012. However, if your renewal is not recorded by the end of Term 1, 2012 with the Membership Secretary you will not receive the No. 2 issue in Term 2.
Pages to are hidden for
"2012 membership form"Please download to view full document