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Membership Registration

Friday, 16 May 2008

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Help us promote the Tablelands and build our local economy - become a member of TTT.
To view the membership categories in adobe PDF click here.

If you want to register as a member please fill out the form below. 1 July 2005 to 30 June 2006.
Fields marked (*) are required.

Membership fee structure: (please refer to 'Categories of Membership' document)
Corporate	$880 per year GST inclusive
Full Membership	$440 per year GST inclusive
Associate Membership	$220 per year GST inclusive
Joining Fee	$55 GST inclusive

Company/Business Name: *

Trading Name: *

ABN Number: *

Contact Name: *

Postal Address: *

Street Address: *

Bussiness Phone Number: *

Bussiness Fax Number: *

Email: *

Website:

Caption: *

Description: *

Note: If your office is not on the Atherton Tablelands you must nominate a shire in which you wish to vote at AGM

Atherton Shire Eacham Shire Herberton Shire Mareeba Shire

I was nominated to join TTT by: *

I was nominated on the date: *

Seconded by: *

New memberships must be nominated and seconded by a current financial member.
Please contact the office if you need assistance with nomination requirements.

Please forward your payment to the office.
A Tax Invoice / Receipt will be sent to you on acceptance of your membership.

I athorise that the information above is correct *

Name: *

Date: *

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