Membership application

TAX INVOICE
ABN 88 312 413 677

PRINT, COMPLETE (in clear printing please!) and send in this form with your payment.

1. Tell us who you are:

2. Tell us how you want to pay:

Donations in excess of these amounts are gratefully received and tax-deductible. Discount or free membership may be given upon application in cases of hardship.

Annual membership fee from April 2008 to March 2009 (including 1 subscription to our quarterly journal Gifted ie 4 issues published in July, October 2008 and February and April 2009)
= $60.00 (GST inclusive) Note: Back issues are sent to those joining part way through membership year

OR with automatic credit card renewal option (see below for more details)
= $57.80 (GST inclusive)

Half year membership (including half-year subscription to Gifted ie 2 issues published February and April 2009) available after 1 Oct 2008 and lasting to 31 Mar 2009
= $30.00 (GST inclusive)

Optional Extras

• Receive additional subscriptions to Gifted (will only be posted to same address)

............... extra subs @ $20 each (GST inclusive) = $.......................

• Receive the Australasian Journal of Gifted Education published twice a year in June & December by the AAEGT

$20 (GST free) additional payment if you join after 1 Jan 2007 to 31 May 2007 (sorry, back issues not available)

$10 (GST free) additional payment if you join after 1 Jul 2007 to 30 Nov 2007

• Tax-deductible donation ($2 and over) $..........................

Total Payment of $ ___________ is enclosed by:

Cheque / money order payable to NSW Association for Gifted & Talented Children Inc.

OR charge the following: Mastercard Visa (please print details clearly):

Tick this box to confirm your request for auto credit card renewal. This means that your membership renewal will be charged to your credit card account when it falls due in April each year. You may cancel your request for auto credit card renewal at any time by writing to the NSWAGTC.

Signed:                                                                         Date:            /        /

NOW SEND YOUR FORM AND PAYMENT IN!

NSW Association for Gifted and Talented Children Inc
c/- Hilltop Road Public School, Hilltop Road, Merrylands NSW 2160

Fax: (02) 9633 5799