Application for Corporate Membership

Piye Inc.

(Incorporated under the Australian Associations Incorporation Act 2009)

Organisation Details
* Org Name
* Contact Person
* Address
City * Postcode
Phone Fax
Mobile * Email
* Country
   
Our organization/ Company hereby applies to become a member of the above-named incorporated association. In the event of our admission as a member, we agree to be bound by the rules of the association for the time being in force. I agree to submit within 28 days the corporate membership donation as selected below.
   
Please select your preferred membership option
 Platinum Level Financier ($5,000+)

Benefits include: Recognition as a Platinum Sponsor on all appropriate printed materials, PIYE website and signage at PIYE events.

 Gold Level Financier ($2,500-$4,999)

Benefits include: Recognition as a Gold Sponsor on all appropriate printed materials, PIYE website and signage at PIYE events.

 Silver Level Financier ($1,000-$2,499)

Benefits include: Recognition as a Silver Sponsor on all appropriate printed materials, PIYE website and signage at PIYE events.

 Bronze Level Financier ($500-$999)

Benefits include: Recognition as a Bronze Sponsor on all appropriate printed materials, PIYE website and signage at PIYE events.
* Sign here or print name 

COMPLETE SECTIONS A OR B BELOW

Section A - Sponsor's Details
Name

I am a member of the association, and would like to nominate the above company or organisation for membership for the association.
Date
Sign here or print name  

Section B - Self Nomination
 I self-nominate for membership of the association
Sign here or print name

Benefits of PIYE Corporate Financier/Member

  • Demonstrate your organisation's commitment to promoting social justice and eliminating disparities in poor communities.
  • Gain visibility for your organization at all PIYE events and on our website.
  • Give back to the community by providing opportunities to enhance the lives of disadvantaged communities.
* Payment Options
 One Time Payment On going Annual Partnership
* I would like to pay amount in   AUD USD EURO
* Amount to be transferred
   
Please note: The donations are not tax-deductible
 Direct Debit/ Bank Transfer
Bank Name: Commonwealth Bank
Bank Location: Sydney, Australia
Account Name: PIYE Incorporated
Account Number: 10484047
BSB#: 062009
Swift Code (Outside Australia): CTBAAU2S
 Cheque/ Money Order - payable to PIYE Incorporated.
Print and mail this form along with your payment to:

The Treasurer
Piye Incorporated
33 Ness Avenue
Dulwich Hill
NSW Australia 2203
 Pay by Credit Card or Bank Transfer via PAYPAL.
(PAYPAL will process amount in AUD)


We would appreciate a confirmation of your donation.
Please email us - info@piye.org.au

Thank you for your support

 


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