VALA Online Membership

 


A tax invoice will be sent by VALA for all payments.

VALA
PO Box 938, Springvale South, VIC 3172
Fax 03 9546 0421
Email: info@vala.asn.au

Tax Invoice
ABN: 79 587 098 915 Inc.

January 1, 2012 - December 31, 2012

 

Applicant Details

 

* required fields

 

Renewal

New membership

* First Name

* Family Name

Organisation Name

* Postal Address

* Town/Suburb

State

* Postcode

* Business Phone

Business Fax

Mob. No.

* Email

Email is our main form of communication

Areas of interest

To help VALA meet members’ needs, please select your key area of interest

VCAL - Community

VCAL - TAFE

VCAL - ACE

Education – Government School

Education – Independent School

Education – Catholic school

Education – Community

Education – TAFE

Education – ACE

Industry

Local Government

Training - Apprenticeships & Traineeships

Membership Category

* Please mark the appropriate category (all fees incldude GST)

Education Student $20

Individual Member $100

Organisational Member - 4 members $255.00 Additional members $60

Organisational members should provide names and email addresses of an additional three members:

Name:

Email:

Name:

Email:

Name:

Email:

Name:

Email:

.

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