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Online Membership Application Form

Application date	12345678910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec20072008
Company Name
Trading Name
Company Website
ABN
Are you registered for GST?	Yes  No
Primary Contact Title	-- Leave Empty --MrMrsMsMissDrProfCr
First Name
Surname
Position/Title
Contact Phone Number
Mobile
Email Address
Second Contact Person Title	-- Leave Empty --MrMrsMissMsCrDrProf
First Name
Surname
Position/Title
Mobile
Email Address
Additional Contact Person Title	-- Leave Empty --MrMrsMissMsCrDrProf
First Name
Surname
Position/Title
Mobile
Email address
Postal Address
City
State	QLDNSWVICACTNTWATASSA
Postcode

Privacy Policy

Townsville Enterprise Privacy Policy In line with the federal Privacy legislation, Townsville Enterprise has produced a Privacy Policy that outlines the way that we collect, use and disclose your information in accordance with providing our membership services, and how you can access that information. As a member, your consent is required if your business information is to be - published on our websites (www.townsvilleonline.com.au, www.townsvilleholidays.info) - included in a membership database which can be made available to other members (eg Online Members Business Directory www.townsvilleonline.com.au) - provided to other industry organisations for a specific purpose used by our organisation for promotional and/or marketing purposes By ticking the box below you acknowledge that you have read the Townsville Enterprise Privacy Policy and you agree to your informaiton being collected and used for the purposes as described in the Privacy Policy.

I agree to the terms outlined in the Privacy Policy  I do not wish for my contact details to be distributed

Conditions of Membership

Conditions of Membership The person/company name herein agrees: Not to enter into any business which will bring Townsville Enterprise Limited, its Board, management and members into disrepute; To provide reliable and consistent product and services; Where possible, to provide support for the marketing initiatives of Townsville Enterprise Limited; To remain committed to building a positive image for the North Queensland Region defined as the Shires of Burdekin, Hinchinbrook and Charters Towers, and the Townsville City Council, including the adjacent islands and Great Barrier Reef; To agree to the membership conditions outlined in the Articles of Association available on our website www.townsvilleonline.com.au

I agree to the conditions of membership  I don't agree to the conditions of membership

Local Government Area

Please select your local government area

TownsvilleCharters TowersBurdekinHinchinbrookCassowary CoastOutside of the North Queensland region

Membership Selection

New Member? Are you a new member of Townsville Enterprise? An application fee of $110 will be added to your total.	No  Yes
Membership Level Please refer to the online membership prospectus for an outline of benefits	None  Associate - $240 incl GST  Tourism Associate (VIC) $450 incl GST  Business - $1,090 incl GST  Bronze - $5,900 incl GST  Silver - $17,800 incl GST  Gold - $29,700 incl GST  Platinum - $59,500 incl GST
Convention Bureau Marketing Packages Townsville Enterprise membership required to purchase Tier 1,2 & 3 packages. Bid Advertising packages can be purchased as a stand alone without Townsville Enterprise membership.	None  Bid Advertising - $230 incl GST  Tier 1 - $4,518 incl GST  Tier 2 - $2,002 incl GST  Tier 3 - $740 incl GST

Payment Options

Please indicate how you would like to pay your membership fees: Payment options including our new online payment facility for credit cards and details for electronic funds transfers are available on our Membership Payments page

Credit Card  Electronic Funds Transfer  Request invoice for cheque payment

Townsville Enterprise Correspondence

Please indicate the correspondence you would like to receive from Townsville Enterprise

Economic Development e-newsletter  Tourism e-newsletter  Convention Bureau e-newsletter  Networking function invitations  Invitations to Business Forums  Invitations to Tourism workshops and seminars  Invitations to Economic Development workshops, seminars and forums  Invitations to Convention Bureau workshops  Invitation to the North Queensland Tourism Awards