Application for Membership
Salon Name: _______________________________________________________________________
Address: __________________________________________________________________________
Telephone: ( ) _________________________Fax: ( ) _________________________
Mobile: _____________________________e-mail: _________________________________
Nominated Representative: _____________________________________
Does the nominated representative hold ownership in part or the entire salon? YES NO
Number of Salons in which an ownership interest is held? ________
Annual HBT Membership = $360 (+$50 for each additional salon)
Please pay either by cheque or use the Credit Card facilities below (please circle):
VISA Credit Card No…………………………Expiry Date…………..
Mastercard Name of cardholder……………………………………………..
Signature…………………………….. Amount $…………………………
A 2% fee will be added for payments made by credit card.
Or pay by Direct Debit:
Westpac BSB: 037-001 A/c 512218 – Hair and Beauty Tasmania
Please quote salon name as the reference.
MEMBERSHIP PROPOSED BY
Name: ___________________________________________________________________________
Salon: ___________________________________________________________________________
Signed: _____________________________________ Date: ____________________
UNDERTAKING BY APPLICANT
I, the undersigned do hereby agree, in the event of my admission to the membership of Hair and Beauty Tasmania, to be subject to the rules of the Association and which may from time to time be changed in accordance with those documents. Also to be bound by the By-Laws of the Association as approved by the Board of Directors and which may be changed in accordance with the Association’s Rules. I also agree to abide by the Code of Ethics of the Association as approved by the Board of Directors and which may be changed from time to time in accordance with the Rules of the Association. I further undertake to use my best endeavours to promote the Association and its objectives.
Dated this: _____________________ day of ___________________ Year _______________
Signed by Nominated Representative:__________________________________________
Application for Other Types of Membership
Name: __________________________________________________________________________
Address: __________________________________________________________________________
Telephone: ( ) _____________________ Fax: ( ) __________________________
Mobile: _____________________________e-mail: _________________________________
Other types of Association with Hair and Beauty Tasmania are (please tick to indicate membership required):
Associate Member.......Staff of Member Salons (Non Voting)..................$360
Associate Member.......Industry Representatives (Non Voting)................$360
Associate Member.......Registered Training Organisation (Non Voting)......$360
Social Member.............Individuals in Industry (Non Voting)....................$360
Use payment form on previous page. All above prices include GST.
PRIVACY DISCLOSURE
Personal information supplied by you and third parties to Hair and Beauty Tasmania in this Membership Application form and otherwise will be received, retained, used and disclosed by Hair and Beauty Tasmania (itself and/or in conjunction with third parties) and related companies for the primary purposes of Membership Database as well as the secondary purpose of marketing. The third parties that Hair and Beauty Tasmania is likely to disclose your information to include Guild Insurance, Wesfarmers Insurance Limited, API Leisure and Lifestyle and Financial Services. You have a right to access your personal information and may request that no further marketing material be sent to you.