membership form - tia · membership form author: alex keywords: dadrsnvmf0y,badejjopid0 created...

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WHY JOIN TIA? In joining us you join the growing movement of people and organisations standing up against corruption and calling for transparency, accountability and integrity. As an individual member, you will support our work to tackle corruption and strengthen democracy. Together, we will build more transparent and accountable systems – in government, in the private sector, and across the community, for the benefit of all. TITLE MY DETAILS Champion accountable government, business integrity and a better democracy FIRST NAME LAST NAME ADDRESS SUBURB POSTCODE STATE EMAIL PHONE MEMBERSHIP CATEGORY FULL (ONE YEAR) I agree to being a member in accordance with the Transparency International Australia Constitution. I will receive the monthly e-newsletter and invitations to events and the AGM. My name and address will be listed on the TIA register of members. As a member, I won’t act in any way that is contrary to TIA's objectives or brings TIA into disrepute. FULL (THREE YEARS*) CONCESSION (ONE YEAR) Please tick the circle that applies. Membership fees are GST inclusive. *Sign up for three year membership and enjoy a $33 discount. I WISH TO MAKE A ONE-0FF DONATION OF $ PAYMENT OPTIONS BY PHONE: BY CHEQUE: PLEASE RETURN THIS COMPLETED FORM WITH A CHEQUE PAYABLE TO TRANSPARENCY INTERNATIONAL AUSTRALIA PLEASE CALL US ON (03) 9018 7551 BY DIRECT DEBIT*: BSB 633-000 ACCOUNT NUMBER 144377462 ACCOUNT NAME TRANSPARENCY INTERNATIONAL AUSTRALIA POST EMAIL Transparency International Australia The Hub, Level 2 696 Bourke Street Melbourne, 3000 [email protected] TIA (ABN: 23 068 075 525) is committed to protecting your privacy. We collect this information only for the purposes of registering your membership and will not share it with any third parties. You may find our privacy policy on our website. You are welcome to phone us if you have any questions. BENEFITS OF MEMBERSHIP As a member, you will amplify our voice against corruption, and together help strengthen the transparency, accountability and integrity of our public and private institutions. You will receive our e-updates, enjoy invitations and discounted tickets to our special events, and contribute your experience and perspectives through our meetings and conferences. YOUR IMPACT We need your help to champion responsible business conduct and government that leads with integrity. Your donation will go towards finding the best solutions to improve the transparency and accountability of our government, and practical solutions for businesses to take a zero- tolerance stance against bribery and corruption. Return this completed form to us by post or by email. *Include your name in the reference field if paying by direct debit.

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Page 1: Membership form - TIA · Membership form Author: Alex Keywords: DADrsnvmF0Y,BADEJJOpiD0 Created Date: 2/28/2020 1:42:20 AM

BECOME A MEMBER OF T IA

JOIN THE MOVEMENT AGAINST CORRUPTION

W H Y J O I N T I A ?

In joining us you join the growingmovement of people andorganisations standing up againstcorruption and calling fortransparency, accountability andintegrity. As an individualmember, you will support ourwork to tackle corruption andstrengthen democracy. Together,we will build more transparentand accountable systems – ingovernment, in the private sector,and across the community, for thebenefit of all.

TITLE

M Y D E T A I L S

Champion accountable government, business integrity and a better democracy 

FIRST NAME LAST NAME

ADDRESS

SUBURB

POSTCODESTATE

EMAIL

PHONE

M E M B E R S H I P C A T E G O R Y

FULL (ONE YEAR)

I agree to being a member in accordance with the Transparency International AustraliaConstitution. I will receive the monthly e-newsletter and invitations to events and the AGM. Myname and address will be listed on the TIA register of members. As a member, I won’t act in anyway that is contrary to TIA's objectives or brings TIA into disrepute.

$132FULL (THREE YEARS*)

$363CONCESSION (ONE YEAR)

$66

Please tick the circle that applies. Membership fees are GST inclusive.*Sign up for three year membership and enjoy a $33 discount.

I WISH TO MAKE A ONE-0FF DONATION OF $

P A Y M E N T O P T I O N S

BY PHONE:

BY CHEQUE: PLEASE RETURN THIS COMPLETED FORM WITH A CHEQUE PAYABLE TOTRANSPARENCY INTERNATIONAL AUSTRALIA

PLEASE CALL US ON (03) 9018 7551

BY DIRECT DEBIT*:BSB 633-000ACCOUNT NUMBER 144377462ACCOUNT NAME TRANSPARENCY INTERNATIONAL AUSTRALIA

POST EMAILTransparency International AustraliaThe Hub, Level 2696 Bourke StreetMelbourne, 3000

[email protected]

TIA (ABN: 23 068 075 525) is committed to protecting your privacy. We collect this information only for the purposes of registering your membership andwill not share it with any third parties. You may find our privacy policy on our website. You are welcome to phone us if you have any questions.

B E N E F I T S O FM E M B E R S H I P

As a member, you will amplify ourvoice against corruption, andtogether help strengthen thetransparency, accountability andintegrity of our public and privateinstitutions. You will receive oure-updates, enjoy invitations anddiscounted tickets to our specialevents, and contribute yourexperience and perspectivesthrough our meetings andconferences.

Y O U R I M P A C T

We need your help to championresponsible business conduct andgovernment that leads withintegrity. Your donation will gotowards finding the best solutionsto improve the transparency andaccountability of our government,and practical solutions forbusinesses to take a zero-tolerance stance against briberyand corruption.

Return this completed formto us by post or by email.

*Include your name in the reference field if paying by direct debit.