We wish to pay by Direct Deposit rather than Credit Card for OIC Membership.


Organisation Details

* Organisation Short Name
Applicant

* Preferred Name 

* Last Name 

Area Code

Telephone Number 


Email

Mobile



Direct Credit Bank Details

BANK: 
Commonwealth Bank 
Military Road 
NEUTRAL BAY  2089
AUSTRALIA

BSB CODE:
062-210
ACCOUNT:
 Open Interchange Consortium
ACCOUNT CODE:
1006-8673 
ABN:
98-594-482-296


 

MEMBERSHIP OPTIONS
Month
Qtr
Total
ANNUM

$ 
$ 
$ 
$ 
A
Sole Consultancy + TIMS A Services
100.00 
300.00 
1,250.00 
1,000.00 
B
Project Awareness + TIMS B Services
150.00 
450.00 
1,800.00 
1,500.00
C
Project Observation + TIMS C Services
235.00 
705.00 
2,820.00 
2,500.00 
D
Project Participation + TIMS D Services
280.00 
840.00 
3,360.00 
3,000.00 


If paying monthly, 3 months payment is required {quarterly payment}.  

Each quarterly payment is required one month in advance.


Please delete options that are not required






                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                   
             
                                
Revised:      ST - 07:22 Fri 30/01/2004   Syd   2089
                                FT - 09:14 Fri 30/01/2004   Syd   2089
Who:    lsx
Authorised:   sgg
Created:  07:56 Sun 15/08/1999   Syd  2010
By:     kmb
Revision:   TIMSdd1.001
Original Page: TIMSdd1
23:47 Mon 20/03/2000   Syd  2965