FORM B. MEMBERSHIP 2022

Complete this form and return to:
The Garden Clubs of Australia Inc.
11 North Terrace,
Dapto NSW 2530

For all enquiries please call the treasurer on 02 4260 8364 or 0408 415 748

Authorise The Garden Clubs of Australia Incorporated, User Id 069621 to arrange for funds to be debited from our account at the financial Institution identified below and as prescribed below through the Bulk Electronic Clearing System.

This authorisation is to remain in force in accordance with the terms described in the attached Direct Debit Request Service Agreement.
We request that you debit our account in accordance with our Agreement.

TO BE COMPLETED BY ACCOUNT SIGNATORIES

Direct Debit payments are for Annual Affiliation Fees, Annual Magazine Subscriptions and Insurance Premiums. Direct debit dates and dollar values will be advised in writing at least 30 days before the due date.

The club acknowledges receiving and reading the Direct Debit Request Service Agreement and agrees to its terms. The Direct Debit arrangements continue until ended as set out in the Service Agreement.

TO BE COMPLETED BY CLUB SIGNATORIES

OFFICE USE ONLY