Credit Card Authority

Please download the form below if you wish to have your membership fees taken from your credit card automatically.

Credit Card Authority Form

Membership Application – Pay by Credit Card

Please fill in the form below if you wish to have your membership fees taken from your credit card automatically.

Details on this page will be sent via secure server.

Please enrol me as a member of the following branch and I pledge myself to loyally abide by rules and amendments that may be made hereafter.

The Australasian Meat Industry Employees' Union

New South Wales Branch

62 Prospect St, ROSEHILL NSW 2142
Phone 02 9893 9011
Toll free 1800 451 535
Fax 02 9687 6853
email amieunsw@amieu.asn.au

Being an Industrial Union of employees registered under the Fair Work Act 2009 as amended,

and

The Australasian Meat Industry Employees Union, registered under the Fair Work Act 2009.

 

Members who elect to have their membership fees paid to the Union by Credit Card should note the following:

  • Your account will be debited the amount of:
  • $416 Annually
  • $208 Half Yearly
  • $34.67 Monthly (Monthly deductions occur from the 20th - 25th of the month, generally 25th.)
  • $16 Fortnightly (Fortnightly deductions occur on Thursday.)
  • $8 Weekly (Weekly deductions occur on Thursday.)
  • The Union shall advise of any change to the amount being debited from your account.
  • Please be aware that should insufficient funds be in your account at the time of the debit transaction, the financial institution you have your account with may impose a charge for your account being overdrawn. So please, ring the office if your circumstances change to make alternative arrangements.
  • The Credit Card request form does not allow the Union to access the personal account details of the account holder.
  • It is imperative that you notify the Union of any change of contact or account details.
    • IF YOU LEAVE THE INDUSTRY AND WISH TO CANCEL YOUR MEMBERSHIP, PLEASE NOTIFY THE UNION EITHER BY MAIL, EMAIL OR FAX TO CANCEL YOUR CREDIT CARD AUTHORITY.
    Name of Member:
    Your Email:
    Address of Member:
    Phone/Mobile Number:
    Post Code:
    Gender:
    MaleFemale
    Employed by: (insert company name or name of employment agency)

    CREDIT CARD AUTHORITY
    PLEASE FILL IN THE FOLLOWING SECTION ONLY IF YOU WISH YOUR MEMBERSHIP FEES TO BE TAKEN FROM YOUR CREDIT CARD AUTOMATICALLY


    I,
    Authorise AMIEU - NSW Branch
    and request you until further notice in writing, to debit my credit card described in The Schedule below any amounts which the Australasian Meat Industry Employees' Union - NSW Branch may charge me through their Bank Merchant Facility.

    I understand and acknowledge that:

    1. The financial institution may, in its absolute discretion, determine the order and priority of payment by it of any monies pursuant to this request or any authority or mandate;
    2. The financial institution may, in its absolute discretion, at any time by notice of writing to me terminate this request as to future charges;
    3. The user may, by prior arrangement and advice to me, vary the amounts or frequency of future charges.

    THE SCHEDULE All details must be supplied.
    Name on Card:
    Credit Card Number:
    Expiry Date:
    CVV No.
    Payment Option*:
    *Note: Monthly deductions occur from 20th-25th of each month, generally 25th.

     

    I hereby declare the above information to be true and correct.

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