Enrolment Form
www.getba.org.nz
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To join the Greater East Tamaki Business Association Inc. (GETBA) please print this form and post it to the address shown below.

I/We ....................................................     .......................................................
Name                                                           Designation

Company .............................................        Trading As ........................................

Description .......................................................................................................
(what your company does, brief phrase)

Category .............................................       No. of employees .............................

Street Address .................................................................................................

PO Box ...............................................       Contact Name .................................

Email .................................................        Website ........................................

Admin Contact ....................................        Email ..............................................
(where applicable)

Phone .............................. Mobile .................................. Fax ..........................

Keywords .......................................................................................................
(optional - words that describe your products or services, up to 256 characters)

I/We hereby apply to become a member of the Greater East Tamaki Business Association Inc. and agree to pay the subscription set by the committee of the Association and to abide by the rules of the Association.

I/We consent to our company details being published on your Website, providing a hotlink to our Website (if any) and receiving newsletter and promotional emails.

Date ......................  Signature ...............................

Subscriptions are assessed at $10.00+GST, per employee on the number of employees per company with a minimum subscription of $50.00+GST ($56.25) and a maximum of $350.00 +GST ($393.75).

Attached is my/our cheque for NZ$..............representing our subscription based on the number of employees shown above.

And either fax your enrolment form to (09) 274 4452 Attention Coralee Carr or post to:

The Secretary
GETBA
PO Box 58-260
Greenmount, Auckland

For those wishing to pay by direct credit please credit to the following:

ASB Bank account no. 12 3233 0382170 00 quoting company name in details.

Printed from the GETBA Website www.getba.org.nz
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