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Membership Application Form
Applying for
*
1 - 3 employees - $375
4 - 15 employees - $875
16 - 49 employees - $1500
50 + employees - $1800
Number of Employees
*
Company Name
*
Trading / Business Name
*
ABN
*
Street Address
*
Postal Address
*
Phone
*
Fax
Website
*
General Enquiry Email
*
Contact Person #1
Name
Position
Mobile Phone
Email
Contact person #2
Name
Position
Mobile Phone
Email
Contact person #3
Name
Position
Mobile Phone
Email
Consent
We consent to the application and promotion of our business
We consent to our business contact and services / product details to be listed on the GEA website, including our Business Profile.
We consent to our business contact details to be listed in the newsletter, membership prospectus and GEA promotional material.
We consent to our business being put forward for supply opportunities
Business Profile
Please fill as many of these in as you can; this helps us provide you with the best value for your membership.
Year Established
*
Principle Business
*
Major Clients
Special Expertise
Special Products/Services
Major Equipment
Facilities
Describe your Quality Assurance Policy/System
Describe your Environmental Management Policy/System
Describe your Workplace Health & Safety Policy/System
Other organisations of which you are a Member
Capabilities
*
Accommodation
Air Transport Provider
Communications
Computers & IT
Construction
Educating & Industry Placements
Electrical Equipment Suppliers / Design / Engineering
Engineering Design
Equipment
Government Agencies
Hire Equipment
Labour Hire / Skilled Workers
Machining
Maintenance
Manufacturing
Materials Supply
Professional Services
Protective Services
Protective Coatings
Recruitment / Employment / Apprenticeships
Retail: Service & Parts
Retail: Agriculture Equipment
Retail: Construction Equipment
Retail: Earth Moving Equipment
Steel Fabrication
Other
Please select a maximum of 3
If Other - please describe
Payment Type
*
Bank Deposit
Cheque / Money Order
Credit Card
Membership
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