Company Information Membership Categories & New Update (Please tick one) Annual Company Name (please tick) Supplier $2203.18 (ex GST) Specialist Dealer $146.91 (ex GST) Associate Member $561.00 (ex GST) ABN Student $13.27 (ex GST) Registered Address I as duly authorised officer of the company, hereby apply for the company to become a member of the Outdoor Power Equipment Association Inc. and in the event of admission as a member, the company agrees to be bound by the rules of the Association. Suburb ABN 53 430 485 930 Name of Applicant State P/Code Signature Date Postal Address (please tick if same as above) I as duly authorised officer of the below mentioned company, which is a current member of the Association, nominate the applicant, who is personally known to me, for membership of the Association. Suburb Name of Proposer State P/Code Company Primary Contact Person Signature Date Name I as duly authorised officer of the below mentioned company, which is a Position current member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association. Phone Name of Seconder Fax Company Signature Date To Apply Supplier Member Applicants only (please complete) Manufacturer/supplier/distributor of Please send your Membership Application and payment confirmation/cheque to: OPEA PO Box 7622, Melbourne VIC 3004 Specialist Dealer Member Applicants only (please complete) Please make your cheque payable to: Distributor of Outdoor Power Equipment Association Inc. Or Associate Member Applicants only (please complete) EFT to: Outdoor Power Equipment Association Inc. Distributor of Westpac BSB 033 165 Account 29 3770 Enquiries Student Member Only (please complete) Studying at Please call: 61 3 9867 0227 Email: Course
Company Information New Update (Please tick one) Company Name ABN Registered Address Suburb State P/Code Postal Address (please tick if same as above) Suburb State P/Code Primary Contact Person Name Position Phone Fax Supplier Member Applicants only (please complete) Manufacturer/supplier/distributor of Specialist Dealer Member Applicants only (please complete) Distributor of Associate Member Applicants only (please complete) Distributor of Student Member Only (please complete) Studying at Course Membership Categories & Annual (please tick) Supplier $2203.18 (ex GST) Specialist Dealer $146.91 (ex GST) Associate Member $561.00 (ex GST) Student $13.27 (ex GST) I as duly authorised officer of the company, hereby apply for the company to become a member of the Outdoor Power Equipment Association Inc. and in the event of admission as a member, the company agrees to be bound by the rules of the Association. ABN 53 430 485 930 Name of Applicant Signature Date I as duly authorised officer of the below mentioned company, which is a current member of the Association, nominate the applicant, who is personally known to me, for membership of the Association. Name of Proposer Company Signature Date I as duly authorised officer of the below mentioned company, which is a current member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association. Name of Seconder Company Signature Date To Apply Please send your Membership Application and payment confirmation/cheque to: OPEA PO Box 7622, Melbourne VIC 3004 Please make your cheque payable to: Outdoor Power Equipment Association Inc. Or EFT to: Outdoor Power Equipment Association Inc. Westpac BSB 033 165 Account 29 3770 Enquiries Please call: 61 3 9867 0227 Email:
2018-19-OPEA-Membership-Application.docx