Retail and Fast Food Workers Union Membership Form Return to: membership@ra wu.org.au or Retail and Fast Food Workers Union, Reply Paid 91331, PO Box 334, Clifton Hill, Victoria, 3068 You can also join online at www.ra wu.org.au/join or call 1300 RAFFWU (1300 723 398) Recruited by Department Signature Date DD/MM/YYYY Title Given Name(s) Surname Home Address Suburb State Postcode Mobile Email Date of Birth DD/MM/YYYY MEMBERSHIP TYPES From 1st July 2021 (Contact RAFFWU for annual membership options with 5% discount, other than under 18) Under 18 Monthly $11 Under 18 Annually $104 CASUAL (For all members 18yrs or over engaged on a casual basis) Monthly $17.60 ($4.05 per week) RED (For all non-casual members 18yrs or over contracted less than 20hrs per week) Monthly $28.60 ($6.60 per week) BLUE (For all non-casual members 18yrs or over contracted 20hrs or more per week) Monthly $42.90 ($9.90 per week) I HEREBY APPLY FOR MEMBERSHIP OF THE RETAIL AND FAST FOOD WORKERS UNION INCORPORATED AND I SUPPORT THE PURPOSES OF THE UNION AND AGREE TO COMPLY WITH THE RULES OF THE UNION You may resign by written notice to the Secretary. Where you cease to be eligible to become a member, resignation shall take e ect on the date the notice is received or on the day speci ed in your notice, whichever is later. In any other case, you must give at least two weeks notice. Members are required to pay dues and levies as set by the Union from time to time in accordance with the Union rules. Further information on nancial obligations, including a copy of the rules, is available from your Union, including at our website. I hereby authorise the Merchant to debit my Card account with the amount and at intervals speci ed above and in the event of any change in the charges for these goods/services to alter the amount from the appropriate date in accordance with such change. This authority shall stand, in respect of the above speci ed Card and in respect of any Card issued to me in renewal or replacement thereof, until I notify the Merchant in writing of its cancellation. Standing Authority for Recurrent Periodic Payment by Credit Card. Date Signature DD/MM/YYYY PAYMENT OPTION 2 DEBIT/CREDIT CARD PROCESSED ON THE 16TH OF EACH MONTH OR SUBSEQUENT WORKING DAY Mastercard Visa Name on card CVV Expiry request and authorise Retail and Fast Food Workers Union Incorporated, APCA User ID No. 508210 to arrange a debit to your nominated account to pay for monthly membership fees Retail and Fast Food Workers Union Incorporated has deemed payable by you, continuing until cancellation. This debit will be arranged through the Bulk Electronic Clearing System Framework (BECS) from your nominated account and will be subject to the terms and conditions of the Direct Debit Request Service Agreement. Full text of the DDRSA available at www.ra wu.org.au/ddr. By signing and/or providing us with a valid instruction in respect to your Direct Debit Request you con rm that you are authorised to operate the nominated account and you have understood and agreed to the terms and conditions set out in this Request and in your Direct Debit Request Service Agreement. Financial Institution Name Account number BSB PAYMENT OPTION 1 DIRECT DEBIT PROCESSED ON THE 1ST WEDNESDAY AFTER THE 14TH OF THE MONTH I, INSERT NAME ”YOU” Date Signature DD/MM/YYYY Tick this box if you are interested in being more involved in the RAFFWU Employer Store Location Card number Gender (Optional) Reply Paid 91331, RAFFWU, PO Box 334, Clifton Hill, 3068 /RAFFWU membership@raffwu.org.au www.raffwu.org.au 1300 RAFFWU (1300 723 398) @ Contact your organiser 9LFWRULD 0HOERXUQH 0LFKDHO -RKQVWRQH PMRKQVWRQH#UDIIZX RUJ DX 9LFWRULD 0HOERXUQH -XQH :DXFKRSH MZDXFKRSH#UDIIZX RUJ DX 16: 6\GQH\ /RXNDV .DNRJLDQQLV ONDNRJLDQQLV#UDIIZX RUJ DX 6RXWK (DVW 4XHHQVODQG %LOO 6PLWK EVPLWK#UDIIZX RUJ DX 6RXWK (DVW 4XHHQVODQG 6RSKLH &ODUNH VFODUNH#UDIIZX RUJ DX $GHODLGH 6XUURXQGV %URQWH &ROPHU EFROPHU#UDIIZX RUJ DX 3HUWK 6XUURXQGV -XG\ 6DULF MVDULF#UDIIZX RUJ DX $OO RWKHU ORFDOLWLHV FRQWDFW#UDIIZX RUJ DX Return by Email or Post – or Join Online at www.raffwu.org.au Retail and Fast Food Workers Union Membership Form Return to: membership@ra wu.org.au or Retail and Fast Food Workers Union, Reply Paid 91331, PO Box 334, Clifton Hill, Victoria, 3068 You can also join online at www.ra wu.org.au/join or call 1300 RAFFWU (1300 723 398) Recruited by Department Signature Date DD/MM/YYYY Title Given Name(s) Surname Home Address Suburb State Postcode Mobile Email Date of Birth DD/MM/YYYY MEMBERSHIP TYPES From 1st July 2021 (Contact RAFFWU for annual membership options with 5% discount, other than under 18) Under 18 Monthly $11 Under 18 Annually $104 CASUAL (For all members 18yrs or over engaged on a casual basis) Monthly $17.60 ($4.05 per week) RED (For all non-casual members 18yrs or over contracted less than 20hrs per week) Monthly $28.60 ($6.60 per week) BLUE (For all non-casual members 18yrs or over contracted 20hrs or more per week) Monthly $42.90 ($9.90 per week) I HEREBY APPLY FOR MEMBERSHIP OF THE RETAIL AND FAST FOOD WORKERS UNION INCORPORATED AND I SUPPORT THE PURPOSES OF THE UNION AND AGREE TO COMPLY WITH THE RULES OF THE UNION You may resign by written notice to the Secretary. Where you cease to be eligible to become a member, resignation shall take e ect on the date the notice is received or on the day speci ed in your notice, whichever is later. In any other case, you must give at least two weeks notice. Members are required to pay dues and levies as set by the Union from time to time in accordance with the Union rules. Further information on nancial obligations, including a copy of the rules, is available from your Union, including at our website. I hereby authorise the Merchant to debit my Card account with the amount and at intervals speci ed above and in the event of any change in the charges for these goods/services to alter the amount from the appropriate date in accordance with such change. This authority shall stand, in respect of the above speci ed Card and in respect of any Card issued to me in renewal or replacement thereof, until I notify the Merchant in writing of its cancellation. Standing Authority for Recurrent Periodic Payment by Credit Card. Date Signature DD/MM/YYYY PAYMENT OPTION 2 DEBIT/CREDIT CARD PROCESSED ON THE 16TH OF EACH MONTH OR SUBSEQUENT WORKING DAY Mastercard Visa Name on card CVV Expiry request and authorise Retail and Fast Food Workers Union Incorporated, APCA User ID No. 508210 to arrange a debit to your nominated account to pay for monthly membership fees Retail and Fast Food Workers Union Incorporated has deemed payable by you, continuing until cancellation. This debit will be arranged through the Bulk Electronic Clearing System Framework (BECS) from your nominated account and will be subject to the terms and conditions of the Direct Debit Request Service Agreement. Full text of the DDRSA available at www.ra wu.org.au/ddr. By signing and/or providing us with a valid instruction in respect to your Direct Debit Request you con rm that you are authorised to operate the nominated account and you have understood and agreed to the terms and conditions set out in this Request and in your Direct Debit Request Service Agreement. Financial Institution Name Account number BSB PAYMENT OPTION 1 DIRECT DEBIT PROCESSED ON THE 1ST WEDNESDAY AFTER THE 14TH OF THE MONTH I, INSERT NAME ”YOU” Date Signature DD/MM/YYYY Tick this box if you are interested in being more involved in the RAFFWU Employer Store Location Card number Gender (Optional) Reply Paid 91331, RAFFWU, PO Box 334, Clifton Hill, 3068 /RAFFWU membership@raffwu.org.au www.raffwu.org.au 1300 RAFFWU (1300 723 398) @ Contact your organiser 9LFWRULD 0HOERXUQH 0LFKDHO -RKQVWRQH PMRKQVWRQH#UDIIZX RUJ DX 9LFWRULD 0HOERXUQH -XQH :DXFKRSH MZDXFKRSH#UDIIZX RUJ DX 16: 6\GQH\ /RXNDV .DNRJLDQQLV ONDNRJLDQQLV#UDIIZX RUJ DX 6RXWK (DVW 4XHHQVODQG %LOO 6PLWK EVPLWK#UDIIZX RUJ DX 6RXWK (DVW 4XHHQVODQG 6RSKLH &ODUNH VFODUNH#UDIIZX RUJ DX $GHODLGH 6XUURXQGV %URQWH &ROPHU EFROPHU#UDIIZX RUJ DX 3HUWK 6XUURXQGV -XG\ 6DULF MVDULF#UDIIZX RUJ DX $OO RWKHU ORFDOLWLHV FRQWDFW#UDIIZX RUJ DX Return by Email or Post – orJoin Online at www.raffwu.org.au Contact your organiser Victoria & Melbourne Michael Johnstone 0422 849 686 mjohnstone@raffwu.org.au NSW, ACT & Sydney Kat Gerritsen 0478 747 553 kgerritsen@raffwu.org.au South East Queensland Bill Smith 0415 159 010 bsmith@raffwu.org.au Perth & Surrounds Judy Saric 0466 817 198 jsaric@raffwu.org.au Special Projects Mon Mulveney 0481 016 355 mmulveney@raffwu.org.au Caucus Organiser June Wauchope 0411 751 187 jwauchope@raffwu.org,au All other localities 1300 723 398 contact@raffwu.org.au CHECK OUT OUR SOCIALS >> RETURN THE ABOVE FORM BY EMAIL OR POST, OR JOIN RAFFWU ONLINE TODAY <<
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