Membership Registration

Untitled Document

ICSP Membership Registration

Date of Application
First Name and Initial
Last Name
Date of Birth (dd/mm)
Position
Company
Street Address
Suburb
Postcode
Email Address
Business Phone
Business Fax
Mobile

Industry
2) Where did you first hear about ICSP?
If Other please specify
How would you like to be involved in ICSP
New Membership
Renew Membership

Membership is 12 months from the official Joining Date (Date payment received)

ICSP INDIVIDUAL MEMBERSHIP
Individual Membership	$349.00 inclusive of GST
Individual Membership is non-transferable and non-refundable.+ $65 joining fee (one off)

ICSP SMALL BUSINESS MEMBERSHIP
(up to 50 employees)

Business Memberships are non-refundable however transferable once within the membership year

$1,299.00 inclusive of GST + $65 joining fee per person

ICSP MEDIUM BUSINESS MEMBERSHIP (50-300 employees) Business Memberships are non-refundable however transferable once within the membership year
	$2,999.00 inclusive of GST+ $65 joining fee per person

10 staff members per membership

ICSP LARGE BUSINESS MEMBERSHIP (300 and over employees)
Business Memberships are non-refundable however transferable once within the membership year	$5,999.00 inclusive of GST+ $65 joining fee per person

20 staff members per membership Please Note: A joining Fee of $65 per person is a one off investment There is a 3% surcharge for Credit Card