Credit Card (Visa / MasterCard / Amex / Diners) Card Number: __________________________________________ Name on Card ___________________________ (please print) Card Expiry Date ___ ___/___ ___ Signature: _____________________________ For telephone credit card payment or enquiries call (08) 9311 8202. Please tick if a receipt is required. Return completed form in enclosed envelope to: Member Liaison Officer, VisAbility Limited PO Box 101, Victoria Park, WA, 6979 Applicant Declaration Applicant to declare that (s)he understands and will uphold the Member Responsibilities. Member undertaking (refer Constitution clause 6.2) Member applicants undertake to: be by VisAbility’s Constitution and Policies; pay the fees and subscription determined to to the Member under clause 9 (if any); and support the Company in the encouragement and promotion of its Objects. Member responsibilities (refer Constitution clause 6.4) Each Member will: do all things necessary to enable the Objects to be achieved; effectively promulgate and enforce the Constitution and Policies of the Company; at all times act for and on behalf of the interest of the Company and Members; be bound by the Constitution and the Policies; act in good faith and loyalty to maintain and enhance the Company, its standards, quality and reputation for collective and mutual benefit of the Members; and at all times operate with and promote mutual trust and confidence between the Company and the Members, promoting the economic success, strength and stability of each other and work co-operatively with each other in the pursuit of the Objectives.
Credit Card (Visa / MasterCard / Amex / Diners) Card Number: __________________________________________ Name on Card ___________________________ (please print) Card Expiry Date ___ ___/___ ___ Signature: _____________________________ For telephone credit card payment or enquiries call (08) 9311 8202. Please tick if a receipt is required. Return completed form in enclosed envelope to: Member Liaison Officer, VisAbility Limited PO Box 101, Victoria Park, WA, 6979 Applicant Declaration Applicant to declare that (s)he understands and will uphold the Member Responsibilities. Member undertaking (refer Constitution clause 6.2) Member applicants undertake to: be by VisAbility’s Constitution and Policies; pay the fees and subscription determined to to the Member under clause 9 (if any); and support the Company in the encouragement and promotion of its Objects. Member responsibilities (refer Constitution clause 6.4) Each Member will: do all things necessary to enable the Objects to be achieved; effectively promulgate and enforce the Constitution and Policies of the Company; at all times act for and on behalf of the interest of the Company and Members; be bound by the Constitution and the Policies; act in good faith and loyalty to maintain and enhance the Company, its standards, quality and reputation for collective and mutual benefit of the Members; and at all times operate with and promote mutual trust and confidence between the Company and the Members, promoting the economic success, strength and stability of each other and work co-operatively with each other in the pursuit of the Objectives.