Membership Application Form Business South Membership Application Form Name of legal entity:(required) Trading name (if applicable): FTE No.: Membership Rates (excl GST) :(required) Sole Trader $395 1-5 FTE $425 6-10 FTE $490 11-24 FTE $540 25-50 FTE $745 51-100 FTE $2450 101-200 FTE $4300 201+ FTE $6100 Business Structure(required) Company Trust Incorporated Society Partnership Other Sector/Industry:(required) Mailing address:(required) Postcode(required) Phone(required) Physical address:(required) Accounts payable : Please email invoice to:(required) Primary Contact Name:(required) Primary contact position:(required) Primary contact phone:(required) Primary contact email:(required) Other persons in the organisation who should receive email newsletters and invitations: Name: Email: Name: Email: Areas you are interested in learning more about (tick options that apply) Training Events Business Support Services Employment Relations Human Resources Other (you may specify below in other details) Next Generation Services How did you hear about us? Search Engine Social Media TV Radio Friend or Family Other Other Details/Comments By providing your details you are agreeing to receive information on new services and offerings from Business South. Please tick to confirm you would like to receive these email updates. You may unsubscribe at any time. I/We acknowledge I/we have read the Constitution and Rules of the Association – attached in link below(required) I/We wish to apply to be enrolled as a member of Business South Incorporated and agree to abide by the Constitution and Rules of the Association and accept the Letter of Engagement(required) Send Δ BSi-Constitution-and-Rules-2022
