Membership Application – Pay by Direct Debit

Please fill in the form below if you wish your membership fees to be debited from your account 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.

 

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)

DIRECT DEBIT AUTHORITY
PLEASE FILL IN THE FOLLOWING SECTION ONLY IF YOU WISH YOUR MEMBERSHIP FEES TO BE TAKEN OUT OF YOUR BANK ACCOUNT AUTOMATICALLY

Members who elect to have their membership fees paid to the Union by Direct Debit 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 Direct Debit 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 DIRECT DEBIT AUTHORITY.
    I/We [Account Holder Name(s)]
    request you until further notice in writing, to debit my/our account described in The Schedule below any amounts which the Australasian Meat Industry Employees' Union - NSW Branch, User ID: 067248 may debit or charge me/us through the Direct Debit System.

    I/We 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/us terminate this request as to future debits;
    3. The user may, by prior arrangement and advice to me/us, vary the amounts or frequency of future debits.

    THE SCHEDULE

    Name of Financial Institution:

    Branch of Financial Institution:

    All details must be supplied.
    Account Name(s):
    BSB Number:
    -
    Account Number:
    Payment Option*:
    Note: Direct Debit is not available on all accounts. Please check with your financial institution.
     
    I hereby declare the above information to be true and correct.

    Type the characters below:
    captcha