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Page 1: Membership form - TIA · Membership form Author: Alex Keywords: DADrsnvmF0Y,BADEJJOpiD0 Created Date: 2/28/2020 1:42:20 AM ...

BECOME A MEMBER OF T IA

JOIN THE MOVEMENT AGAINST CORRUPTION

W H Y J O I N T I A ?

In joining us you join the growingmovement of people andorganisations standing up againstcorruption and calling fortransparency, accountability andintegrity. As an individualmember, you will support ourwork to tackle corruption andstrengthen democracy. Together,we will build more transparentand accountable systems – ingovernment, in the private sector,and across the community, for thebenefit of all.

TITLE

M Y D E T A I L S

Champion accountable government, business integrity and a better democracy 

FIRST NAME LAST NAME

ADDRESS

SUBURB

POSTCODESTATE

EMAIL

PHONE

M E M B E R S H I P C A T E G O R Y

FULL (ONE YEAR)

I agree to being a member in accordance with the Transparency International AustraliaConstitution. I will receive the monthly e-newsletter and invitations to events and the AGM. Myname and address will be listed on the TIA register of members. As a member, I won’t act in anyway that is contrary to TIA's objectives or brings TIA into disrepute.

$132FULL (THREE YEARS*)

$363CONCESSION (ONE YEAR)

$66

Please tick the circle that applies. Membership fees are GST inclusive.*Sign up for three year membership and enjoy a $33 discount.

I WISH TO MAKE A ONE-0FF DONATION OF $

P A Y M E N T O P T I O N S

BY PHONE:

BY CHEQUE: PLEASE RETURN THIS COMPLETED FORM WITH A CHEQUE PAYABLE TOTRANSPARENCY INTERNATIONAL AUSTRALIA

PLEASE CALL US ON (03) 9018 7551

BY DIRECT DEBIT*:BSB 633-000ACCOUNT NUMBER 144377462ACCOUNT NAME TRANSPARENCY INTERNATIONAL AUSTRALIA

POST EMAILTransparency International AustraliaThe Hub, Level 2696 Bourke StreetMelbourne, 3000

[email protected]

TIA (ABN: 23 068 075 525) is committed to protecting your privacy. We collect this information only for the purposes of registering your membership andwill not share it with any third parties. You may find our privacy policy on our website. You are welcome to phone us if you have any questions.

B E N E F I T S O FM E M B E R S H I P

As a member, you will amplify ourvoice against corruption, andtogether help strengthen thetransparency, accountability andintegrity of our public and privateinstitutions. You will receive oure-updates, enjoy invitations anddiscounted tickets to our specialevents, and contribute yourexperience and perspectivesthrough our meetings andconferences.

Y O U R I M P A C T

We need your help to championresponsible business conduct andgovernment that leads withintegrity. Your donation will gotowards finding the best solutionsto improve the transparency andaccountability of our government,and practical solutions forbusinesses to take a zero-tolerance stance against briberyand corruption.

Return this completed formto us by post or by email.

*Include your name in the reference field if paying by direct debit.

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