2012_form_full_1

4
MEMBERSHIP APPLICATION FORM 2012 Please fill in this form and return By post to: IEU Victoria Tasmania PO Box 1320 South Melbourne VIC 3205 Or by fax to: 9254 1865 Or email to: [email protected]

description

http://www.ieuvictas.org.au/files/9113/3163/9418/2012_form_full_1.pdf

Transcript of 2012_form_full_1

Page 1: 2012_form_full_1

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

personaL detaiLs 1

2

The IEU is bound by the Privacy Act The IEU collects information about you to ensure we have the necessary details to represent your employment and related interests, and to record your union membership. The IEU’s Privacy Code is available at www.ieuvictas.org.au or through the IEU office.

Paying with BPAY The IEU will email you a Biller Code and your personal reference number as soon as your membership application is processed

ANY QUERIES ABOUT FILLING IN THIS FORM?call the IEU office: 9254 1860, or FreeCall 1800 622 889 (for country members)

expiry

paYMent options: choose one (Use the table opposite to determine your fee)

paYMent bY Credit Card Please deduct the appropriate fee amount which may be varied from time to time in accordance with written advice from the IEU. This authority shall remain in force until I advise otherwise.

Visa Mastercard Amex Diners

signature amount $

i choose to pay my fee: Monthly Quarterly Half-yearly In Full

paYMent bY Cheque

My cheque for $ is attached.

i choose to pay my fee: Quarterly Half-yearly In Full

paYroLL deduCtion FroM saLarY (If you choose this option please check your school offers this service.)

I hereby authorise (institution) to deduct my membership fees to the IEU from my salary. The amount deducted in accordance with this authority may be varied from time to time in accordance with written advice from the IEU. This authorisation shall remain in force until I advise otherwise or I leave this school.

FEES BECOME DUE ON 1 FEBRUARY

Home address

Given names M F

Postcode

Email (preferably at school)

Workplace nameHome phone/mobile

Workplace town/suburb

Do you work:

Job description (eg. teacher, gardener)

I hereby apply to join the Independent Education Union Victoria Tasmania. I agree to abide by its rules and amendments made in accordance with these rules.

Signature Date

Full-time Part-time Casual Primary Secondary Both Other

Surname

Tick your 2012 Fee Category These payments consist of fee plus GST ✔

Date of birth

Card no:

Details of the Account to be Debited

Direct Debit Payment Frequency

I I I I I I I I I

Name of Financial Institution Account name

BSB number Account number

I choose to pay my fee: Twice Monthly (1st & 15th) Monthly (on the 15th) Quarterly

Half-yearly In Full

(All details must be supplied)

I I I I

Name of Customer giving the Direct Debit Authority i,

authorise the IEU (APCAD61205) to arrange for funds to be debited from my account at the financial institution identified below and as prescribed below through the Bulk Electronic Clearing System (BECS). This authorisation shall remain in force until I advise otherwise.

direCt debit FroM bank aCCount– the preferred payment option

Customer Authority

/ / signature date

paYMent bY bpaY®

I wish to pay my fee by BPAY. I will pay:

Monthly Quarterly Half-yearly In Full

FEES ARE BASED ON GROSS ANNUAL SALARY PRIOR TO SALARY PACKAGING OR SALARY SACRIFICE*Only for those in their first year of employment after gaining their appropriate qualification.

(Tick your choice of payment frequency)

(Tick your choice of payment frequency)

signature date

CateGorY annuaL haLF YearLY quarterLY CaL. Month WeekLY

N10n Above $90,000$786.00$393.00$196.50$65.50$15.11

N9n $80,000-89,999$720.00$360.00$180.00$60.00$13.85

N8n $70,000-79,999$644.40$322.20$161.10$53.70$12.39

N7n $60,000-69,999$570.00$285.00$142.50$47.50$10.96

N6n $50,000-59,999$495.00$247.50$123.75$41.25$9.52

N5n $40,000-49,999$420.00$210.00$105.00$35.00$8.08

N4n $30,000-39,999$330.00$165.00$82.50$27.50$6.35

N3n $20,000-29,999$231.00$115.50$57.75$19.25$4.44

N2n $10,000-19,999$139.20$69.60$34.80$11.60$2.68

N1n Under $10,000$52.20$26.10$13.05$4.35$1.00

Bn 1st Year Graduate * $192.00$96.00$48.00$16.00$3.69

An Associate/Unpaid Leave $48.00$24.00$12.00$4.00-

Rn Retiree $24.00$12.00$6.00$2.00-

Sn Student Teacher $0.00$0.00$0.00$0.00$0.00

ANNUAL FEES ARE PAYABLE

FOR THE PERIOD

1 FEBRUARY TO

31 JANUARY

SPECIAL MEMBER BENEFITSLeGaL adviCe and supportWhen you start a new job in a non-government school, we can check your contract and advise you of any potential problems before you sign. Expert IEU Officers are also available to assist you with issues that may arise through your work in schools. There may be other times in your career when you need legal advice and support. The IEU has relationships with solicitors in Victoria and Tasmania who can assist you if the need arises.

keepinG You up-to-dateOur highly informative publications, The Point and Independent Education, are exclusively available to IEU members. They cover issues affecting the education sector in-depth, and are an excellent reference for everyone in the sector.

You can follow the IEU on facebook for regular updates and industry news: visit http://tinyurl.com/IEUVT to join, or follow us on twitter: @IEUnews

traininGThe IEU offers training opportunities for people across the range of employment in non-government schools. Specialist conferences provide low-cost, high-relevance learning opportunities every year. Our training arm, the Teacher Learning Network (TLN) offers a range of professional development with a variety of focus areas. The IEU's highly successful PD in the Pub series is also a must.

IEU training information is online at www.ieuvictas.org.au or www.tln.org.au or email [email protected]

FinanCeThe IEU has close relationships with ME Bank and Victoria Teachers Credit Union, both of which offer very competitive services for members.

proFessionaL supportAll members automatically become part of our dedicated email network. IEU members receive regular e-newsletters and invitations to participate in professional networks.

Individual advice is available on a confidential basis on any work-related matter.

heaLthTeachers Health is a not-for-profit health fund created to provide education union members and their families exceptional value health cover. If you are looking for private health care cover, it’s worth comparing Teachers Health rates.

IEU membership also entitles you to a range of other healthcare benefits – from discount dental care to savings on optical services.

dininG/petroL/GroCeries/traveLAs an IEU member, through our partnership with Member Advantage and the Ambassador Card, your membership card entitles you to enjoy great savings at many restaurants around Australia and NZ, including 2-for-1 dining, and 5% off Coles and Woolworths gift cards, savings on weekly expenses like groceries and petrol, plus discounts on entertainment, shopping, travel and more.

shoppinGDiscounts are also available through Union Shopper, who will find you the best prices on whitegoods, TVs, cars, insurance and more.

IEU members also have access to a wide range of services through ACTU Member Connect. Member Connect is 100% union-owned and aims to add real value to your membership by saving you money on home loans, new cars, credit cards, managed investments, financial advisers and cinema tickets.

CONTACT THE IEUTelephone (03) 9254 1860 Free Call 1800 622 889 Postal PO Box 1320 South Melbourne VIC 3205 Email [email protected] www.ieuvictas.org.au

MEMBERSHIP APPLICATION

FORM2012

please fill in this form and returnby post to:ieu victoria tasmania po box 1320 south Melbourne viC 3205or by fax to: 9254 1865or email to: [email protected]

Tara Daly 07:42:00

B054750_IEU_Membership Forms A1

11-11-29

YellowMagentaCyanBlack

Page 2: 2012_form_full_1

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

personaL detaiLs1

2

The IEU is bound by the Privacy Act The IEU collects information about you to ensure we have the necessary details to represent your employment and related interests, and to record your union membership. The IEU’s Privacy Code is available at www.ieuvictas.org.au or through the IEU office.

Paying with BPAY The IEU will email you a Biller Code and your personal reference number as soon as your membership application is processed

ANY QUERIES ABOUT FILLING IN THIS FORM?call the IEU office: 9254 1860, or FreeCall 1800 622 889 (for country members)

expiry

paYMent options: choose one (Use the table opposite to determine your fee)

paYMent bY Credit Card Please deduct the appropriate fee amount which may be varied from time to time in accordance with written advice from the IEU. This authority shall remain in force until I advise otherwise.

Visa Mastercard Amex Diners

signature amount $

i choose to pay my fee: Monthly Quarterly Half-yearly In Full

paYMent bY Cheque

My cheque for $ is attached.

i choose to pay my fee: Quarterly Half-yearly In Full

paYroLL deduCtion FroM saLarY (If you choose this option please check your school offers this service.)

I hereby authorise (institution) to deduct my membership fees to the IEU from my salary. The amount deducted in accordance with this authority may be varied from time to time in accordance with written advice from the IEU. This authorisation shall remain in force until I advise otherwise or I leave this school.

FEES BECOME DUE ON 1 FEBRUARY

Home address

Given names M F

Postcode

Email (preferably at school)

Workplace name Home phone/mobile

Workplace town/suburb

Do you work:

Job description (eg. teacher, gardener)

I hereby apply to join the Independent Education Union Victoria Tasmania. I agree to abide by its rules and amendments made in accordance with these rules.

Signature Date

Full-time Part-time Casual Primary Secondary Both Other

Surname

Tick your 2012 Fee Category These payments consist of fee plus GST✔

Date of birth

Card no:

Details of the Account to be Debited

Direct Debit Payment Frequency

I I I I I I I I I

Name of Financial Institution Account name

BSB number Account number

I choose to pay my fee: Twice Monthly (1st & 15th) Monthly (on the 15th) Quarterly

Half-yearly In Full

(All details must be supplied)

I I I I

Name of Customer giving the Direct Debit Authority i,

authorise the IEU (APCAD61205) to arrange for funds to be debited from my account at the financial institution identified below and as prescribed below through the Bulk Electronic Clearing System (BECS). This authorisation shall remain in force until I advise otherwise.

direCt debit FroM bank aCCount – the preferred payment option

Customer Authority

/ /signature date

paYMent bY bpaY®

I wish to pay my fee by BPAY. I will pay:

Monthly Quarterly Half-yearly In Full

FEES ARE BASED ON GROSS ANNUAL SALARY PRIOR TO SALARY PACKAGING OR SALARY SACRIFICE*Only for those in their first year of employment after gaining their appropriate qualification.

(Tick your choice of payment frequency)

(Tick your choice of payment frequency)

signature date

CateGorY annuaL haLF YearLY quarterLY CaL. Month WeekLY

N10n Above $90,000 $786.00 $393.00 $196.50 $65.50 $15.11

N9 n $80,000-89,999 $720.00 $360.00 $180.00 $60.00 $13.85

N8 n $70,000-79,999 $644.40 $322.20 $161.10 $53.70 $12.39

N7 n $60,000-69,999 $570.00 $285.00 $142.50 $47.50 $10.96

N6 n $50,000-59,999 $495.00 $247.50 $123.75 $41.25 $9.52

N5 n $40,000-49,999 $420.00 $210.00 $105.00 $35.00 $8.08

N4 n $30,000-39,999 $330.00 $165.00 $82.50 $27.50 $6.35

N3 n $20,000-29,999 $231.00 $115.50 $57.75 $19.25 $4.44

N2 n $10,000-19,999 $139.20 $69.60 $34.80 $11.60 $2.68

N1 n Under $10,000 $52.20 $26.10 $13.05 $4.35 $1.00

B n 1st Year Graduate * $192.00 $96.00 $48.00 $16.00 $3.69

A n Associate/Unpaid Leave $48.00 $24.00 $12.00 $4.00 -

R n Retiree $24.00 $12.00 $6.00 $2.00 -

S n Student Teacher $0.00 $0.00 $0.00 $0.00 $0.00

ANNUAL FEES ARE PAYABLE

FOR THE PERIOD

1 FEBRUARY TO

31 JANUARY

SPECIAL MEMBER BENEFITSLeGaL adviCe and supportWhen you start a new job in a non-government school, we can check your contract and advise you of any potential problems before you sign. Expert IEU Officers are also available to assist you with issues that may arise through your work in schools. There may be other times in your career when you need legal advice and support. The IEU has relationships with solicitors in Victoria and Tasmania who can assist you if the need arises.

keepinG You up-to-dateOur highly informative publications, The Point and Independent Education, are exclusively available to IEU members. They cover issues affecting the education sector in-depth, and are an excellent reference for everyone in the sector.

You can follow the IEU on facebook for regular updates and industry news: visit http://tinyurl.com/IEUVT to join, or follow us on twitter: @IEUnews

traininGThe IEU offers training opportunities for people across the range of employment in non-government schools. Specialist conferences provide low-cost, high-relevance learning opportunities every year. Our training arm, the Teacher Learning Network (TLN) offers a range of professional development with a variety of focus areas. The IEU's highly successful PD in the Pub series is also a must.

IEU training information is online at www.ieuvictas.org.au or www.tln.org.au or email [email protected]

FinanCeThe IEU has close relationships with ME Bank and Victoria Teachers Credit Union, both of which offer very competitive services for members.

proFessionaL supportAll members automatically become part of our dedicated email network. IEU members receive regular e-newsletters and invitations to participate in professional networks.

Individual advice is available on a confidential basis on any work-related matter.

heaLthTeachers Health is a not-for-profit health fund created to provide education union members and their families exceptional value health cover. If you are looking for private health care cover, it’s worth comparing Teachers Health rates.

IEU membership also entitles you to a range of other healthcare benefits – from discount dental care to savings on optical services.

dininG/petroL/GroCeries/traveLAs an IEU member, through our partnership with Member Advantage and the Ambassador Card, your membership card entitles you to enjoy great savings at many restaurants around Australia and NZ, including 2-for-1 dining, and 5% off Coles and Woolworths gift cards, savings on weekly expenses like groceries and petrol, plus discounts on entertainment, shopping, travel and more.

shoppinGDiscounts are also available through Union Shopper, who will find you the best prices on whitegoods, TVs, cars, insurance and more.

IEU members also have access to a wide range of services through ACTU Member Connect. Member Connect is 100% union-owned and aims to add real value to your membership by saving you money on home loans, new cars, credit cards, managed investments, financial advisers and cinema tickets.

CONTACT THE IEUTelephone (03) 9254 1860 Free Call 1800 622 889 Postal PO Box 1320 South Melbourne VIC 3205 Email [email protected] www.ieuvictas.org.au

MEMBERSHIP APPLICATION

FORM

2012

please fill in this form and returnby post to:ieu victoria tasmania po box 1320 south Melbourne viC 3205or by fax to: 9254 1865or email to: [email protected]

Tara Daly07:42:00

B054750_IEU_Membership FormsA 1

11-11-29

Yellow Magenta Cyan Black

Page 3: 2012_form_full_1

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

CM

YK

25

25

25

2

580

80

8

0

8050

5

0

50

5050

5

0

50

50

5

5

5

55

5

5

5

personaL detaiLs1

2

The IEU is bound by the Privacy Act The IEU collects information about you to ensure we have the necessary details to represent your employment and related interests, and to record your union membership. The IEU’s Privacy Code is available at www.ieuvictas.org.au or through the IEU office.

Paying with BPAY The IEU will email you a Biller Code and your personal reference number as soon as your membership application is processed

ANY QUERIES ABOUT FILLING IN THIS FORM?call the IEU office: 9254 1860, or FreeCall 1800 622 889 (for country members)

expiry

paYMent options: choose one (Use the table opposite to determine your fee)

paYMent bY Credit Card Please deduct the appropriate fee amount which may be varied from time to time in accordance with written advice from the IEU. This authority shall remain in force until I advise otherwise.

Visa Mastercard Amex Diners

signature amount $

i choose to pay my fee: Monthly Quarterly Half-yearly In Full

paYMent bY Cheque

My cheque for $ is attached.

i choose to pay my fee: Quarterly Half-yearly In Full

paYroLL deduCtion FroM saLarY (If you choose this option please check your school offers this service.)

I hereby authorise (institution) to deduct my membership fees to the IEU from my salary. The amount deducted in accordance with this authority may be varied from time to time in accordance with written advice from the IEU. This authorisation shall remain in force until I advise otherwise or I leave this school.

FEES BECOME DUE ON 1 FEBRUARY

Home address

Given names M F

Postcode

Email (preferably at school)

Workplace name Home phone/mobile

Workplace town/suburb

Do you work:

Job description (eg. teacher, gardener)

I hereby apply to join the Independent Education Union Victoria Tasmania. I agree to abide by its rules and amendments made in accordance with these rules.

Signature Date

Full-time Part-time Casual Primary Secondary Both Other

Surname

Tick your 2012 Fee Category These payments consist of fee plus GST✔

Date of birth

Card no:

Details of the Account to be Debited

Direct Debit Payment Frequency

I I I I I I I I I

Name of Financial Institution Account name

BSB number Account number

I choose to pay my fee: Twice Monthly (1st & 15th) Monthly (on the 15th) Quarterly

Half-yearly In Full

(All details must be supplied)

I I I I

Name of Customer giving the Direct Debit Authority i,

authorise the IEU (APCAD61205) to arrange for funds to be debited from my account at the financial institution identified below and as prescribed below through the Bulk Electronic Clearing System (BECS). This authorisation shall remain in force until I advise otherwise.

direCt debit FroM bank aCCount – the preferred payment option

Customer Authority

/ /signature date

paYMent bY bpaY®

I wish to pay my fee by BPAY. I will pay:

Monthly Quarterly Half-yearly In Full

FEES ARE BASED ON GROSS ANNUAL SALARY PRIOR TO SALARY PACKAGING OR SALARY SACRIFICE*Only for those in their first year of employment after gaining their appropriate qualification.

(Tick your choice of payment frequency)

(Tick your choice of payment frequency)

signature date

CateGorY annuaL haLF YearLY quarterLY CaL. Month WeekLY

N10n Above $90,000 $786.00 $393.00 $196.50 $65.50 $15.11

N9 n $80,000-89,999 $720.00 $360.00 $180.00 $60.00 $13.85

N8 n $70,000-79,999 $644.40 $322.20 $161.10 $53.70 $12.39

N7 n $60,000-69,999 $570.00 $285.00 $142.50 $47.50 $10.96

N6 n $50,000-59,999 $495.00 $247.50 $123.75 $41.25 $9.52

N5 n $40,000-49,999 $420.00 $210.00 $105.00 $35.00 $8.08

N4 n $30,000-39,999 $330.00 $165.00 $82.50 $27.50 $6.35

N3 n $20,000-29,999 $231.00 $115.50 $57.75 $19.25 $4.44

N2 n $10,000-19,999 $139.20 $69.60 $34.80 $11.60 $2.68

N1 n Under $10,000 $52.20 $26.10 $13.05 $4.35 $1.00

B n 1st Year Graduate * $192.00 $96.00 $48.00 $16.00 $3.69

A n Associate/Unpaid Leave $48.00 $24.00 $12.00 $4.00 -

R n Retiree $24.00 $12.00 $6.00 $2.00 -

S n Student Teacher $0.00 $0.00 $0.00 $0.00 $0.00

ANNUAL FEES ARE PAYABLE

FOR THE PERIOD

1 FEBRUARY TO

31 JANUARY

SPECIAL MEMBER BENEFITSLeGaL adviCe and supportWhen you start a new job in a non-government school, we can check your contract and advise you of any potential problems before you sign. Expert IEU Officers are also available to assist you with issues that may arise through your work in schools. There may be other times in your career when you need legal advice and support. The IEU has relationships with solicitors in Victoria and Tasmania who can assist you if the need arises.

keepinG You up-to-dateOur highly informative publications, The Point and Independent Education, are exclusively available to IEU members. They cover issues affecting the education sector in-depth, and are an excellent reference for everyone in the sector.

You can follow the IEU on facebook for regular updates and industry news: visit http://tinyurl.com/IEUVT to join, or follow us on twitter: @IEUnews

traininGThe IEU offers training opportunities for people across the range of employment in non-government schools. Specialist conferences provide low-cost, high-relevance learning opportunities every year. Our training arm, the Teacher Learning Network (TLN) offers a range of professional development with a variety of focus areas. The IEU's highly successful PD in the Pub series is also a must.

IEU training information is online at www.ieuvictas.org.au or www.tln.org.au or email [email protected]

FinanCeThe IEU has close relationships with ME Bank and Victoria Teachers Credit Union, both of which offer very competitive services for members.

proFessionaL supportAll members automatically become part of our dedicated email network. IEU members receive regular e-newsletters and invitations to participate in professional networks.

Individual advice is available on a confidential basis on any work-related matter.

heaLthTeachers Health is a not-for-profit health fund created to provide education union members and their families exceptional value health cover. If you are looking for private health care cover, it’s worth comparing Teachers Health rates.

IEU membership also entitles you to a range of other healthcare benefits – from discount dental care to savings on optical services.

dininG/petroL/GroCeries/traveLAs an IEU member, through our partnership with Member Advantage and the Ambassador Card, your membership card entitles you to enjoy great savings at many restaurants around Australia and NZ, including 2-for-1 dining, and 5% off Coles and Woolworths gift cards, savings on weekly expenses like groceries and petrol, plus discounts on entertainment, shopping, travel and more.

shoppinGDiscounts are also available through Union Shopper, who will find you the best prices on whitegoods, TVs, cars, insurance and more.

IEU members also have access to a wide range of services through ACTU Member Connect. Member Connect is 100% union-owned and aims to add real value to your membership by saving you money on home loans, new cars, credit cards, managed investments, financial advisers and cinema tickets.

CONTACT THE IEUTelephone (03) 9254 1860 Free Call 1800 622 889 Postal PO Box 1320 South Melbourne VIC 3205 Email [email protected] www.ieuvictas.org.au

MEMBERSHIP APPLICATION

FORM

2012

please fill in this form and returnby post to:ieu victoria tasmania po box 1320 south Melbourne viC 3205or by fax to: 9254 1865or email to: [email protected]

Tara Daly07:42:00

B054750_IEU_Membership FormsA 1

11-11-29

Yellow Magenta Cyan Black

Page 4: 2012_form_full_1

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

CM

YK

25 25 25 2580 80 80 80

50 50 50 5050 50 50 50

5 5 5 55 5 5 5

personaL detaiLs 1

2

The IEU is bound by the Privacy Act The IEU collects information about you to ensure we have the necessary details to represent your employment and related interests, and to record your union membership. The IEU’s Privacy Code is available at www.ieuvictas.org.au or through the IEU office.

Paying with BPAY The IEU will email you a Biller Code and your personal reference number as soon as your membership application is processed

ANY QUERIES ABOUT FILLING IN THIS FORM?call the IEU office: 9254 1860, or FreeCall 1800 622 889 (for country members)

expiry

paYMent options: choose one (Use the table opposite to determine your fee)

paYMent bY Credit Card Please deduct the appropriate fee amount which may be varied from time to time in accordance with written advice from the IEU. This authority shall remain in force until I advise otherwise.

Visa Mastercard Amex Diners

signature amount $

i choose to pay my fee: Monthly Quarterly Half-yearly In Full

paYMent bY Cheque

My cheque for $ is attached.

i choose to pay my fee: Quarterly Half-yearly In Full

paYroLL deduCtion FroM saLarY (If you choose this option please check your school offers this service.)

I hereby authorise (institution) to deduct my membership fees to the IEU from my salary. The amount deducted in accordance with this authority may be varied from time to time in accordance with written advice from the IEU. This authorisation shall remain in force until I advise otherwise or I leave this school.

FEES BECOME DUE ON 1 FEBRUARY

Home address

Given names M F

Postcode

Email (preferably at school)

Workplace nameHome phone/mobile

Workplace town/suburb

Do you work:

Job description (eg. teacher, gardener)

I hereby apply to join the Independent Education Union Victoria Tasmania. I agree to abide by its rules and amendments made in accordance with these rules.

Signature Date

Full-time Part-time Casual Primary Secondary Both Other

Surname

Tick your 2012 Fee Category These payments consist of fee plus GST ✔

Date of birth

Card no:

Details of the Account to be Debited

Direct Debit Payment Frequency

I I I I I I I I I

Name of Financial Institution Account name

BSB number Account number

I choose to pay my fee: Twice Monthly (1st & 15th) Monthly (on the 15th) Quarterly

Half-yearly In Full

(All details must be supplied)

I I I I

Name of Customer giving the Direct Debit Authority i,

authorise the IEU (APCAD61205) to arrange for funds to be debited from my account at the financial institution identified below and as prescribed below through the Bulk Electronic Clearing System (BECS). This authorisation shall remain in force until I advise otherwise.

direCt debit FroM bank aCCount– the preferred payment option

Customer Authority

/ / signature date

paYMent bY bpaY®

I wish to pay my fee by BPAY. I will pay:

Monthly Quarterly Half-yearly In Full

FEES ARE BASED ON GROSS ANNUAL SALARY PRIOR TO SALARY PACKAGING OR SALARY SACRIFICE*Only for those in their first year of employment after gaining their appropriate qualification.

(Tick your choice of payment frequency)

(Tick your choice of payment frequency)

signature date

CateGorY annuaL haLF YearLY quarterLY CaL. Month WeekLY

N10n Above $90,000$786.00$393.00$196.50$65.50$15.11

N9n $80,000-89,999$720.00$360.00$180.00$60.00$13.85

N8n $70,000-79,999$644.40$322.20$161.10$53.70$12.39

N7n $60,000-69,999$570.00$285.00$142.50$47.50$10.96

N6n $50,000-59,999$495.00$247.50$123.75$41.25$9.52

N5n $40,000-49,999$420.00$210.00$105.00$35.00$8.08

N4n $30,000-39,999$330.00$165.00$82.50$27.50$6.35

N3n $20,000-29,999$231.00$115.50$57.75$19.25$4.44

N2n $10,000-19,999$139.20$69.60$34.80$11.60$2.68

N1n Under $10,000$52.20$26.10$13.05$4.35$1.00

Bn 1st Year Graduate * $192.00$96.00$48.00$16.00$3.69

An Associate/Unpaid Leave $48.00$24.00$12.00$4.00-

Rn Retiree $24.00$12.00$6.00$2.00-

Sn Student Teacher $0.00$0.00$0.00$0.00$0.00

ANNUAL FEES ARE PAYABLE

FOR THE PERIOD

1 FEBRUARY TO

31 JANUARY

SPECIAL MEMBER BENEFITSLeGaL adviCe and supportWhen you start a new job in a non-government school, we can check your contract and advise you of any potential problems before you sign. Expert IEU Officers are also available to assist you with issues that may arise through your work in schools. There may be other times in your career when you need legal advice and support. The IEU has relationships with solicitors in Victoria and Tasmania who can assist you if the need arises.

keepinG You up-to-dateOur highly informative publications, The Point and Independent Education, are exclusively available to IEU members. They cover issues affecting the education sector in-depth, and are an excellent reference for everyone in the sector.

You can follow the IEU on facebook for regular updates and industry news: visit http://tinyurl.com/IEUVT to join, or follow us on twitter: @IEUnews

traininGThe IEU offers training opportunities for people across the range of employment in non-government schools. Specialist conferences provide low-cost, high-relevance learning opportunities every year. Our training arm, the Teacher Learning Network (TLN) offers a range of professional development with a variety of focus areas. The IEU's highly successful PD in the Pub series is also a must.

IEU training information is online at www.ieuvictas.org.au or www.tln.org.au or email [email protected]

FinanCeThe IEU has close relationships with ME Bank and Victoria Teachers Credit Union, both of which offer very competitive services for members.

proFessionaL supportAll members automatically become part of our dedicated email network. IEU members receive regular e-newsletters and invitations to participate in professional networks.

Individual advice is available on a confidential basis on any work-related matter.

heaLthTeachers Health is a not-for-profit health fund created to provide education union members and their families exceptional value health cover. If you are looking for private health care cover, it’s worth comparing Teachers Health rates.

IEU membership also entitles you to a range of other healthcare benefits – from discount dental care to savings on optical services.

dininG/petroL/GroCeries/traveLAs an IEU member, through our partnership with Member Advantage and the Ambassador Card, your membership card entitles you to enjoy great savings at many restaurants around Australia and NZ, including 2-for-1 dining, and 5% off Coles and Woolworths gift cards, savings on weekly expenses like groceries and petrol, plus discounts on entertainment, shopping, travel and more.

shoppinGDiscounts are also available through Union Shopper, who will find you the best prices on whitegoods, TVs, cars, insurance and more.

IEU members also have access to a wide range of services through ACTU Member Connect. Member Connect is 100% union-owned and aims to add real value to your membership by saving you money on home loans, new cars, credit cards, managed investments, financial advisers and cinema tickets.

CONTACT THE IEUTelephone (03) 9254 1860 Free Call 1800 622 889 Postal PO Box 1320 South Melbourne VIC 3205 Email [email protected] www.ieuvictas.org.au

MEMBERSHIP APPLICATION

FORM2012

please fill in this form and returnby post to:ieu victoria tasmania po box 1320 south Melbourne viC 3205or by fax to: 9254 1865or email to: [email protected]

Tara Daly 07:42:00

B054750_IEU_Membership Forms A1

11-11-29

YellowMagentaCyanBlack