Fillable Application Form 202103 Fillable (Australian National University)

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Application Form 202103 Fillable (Australian National University)

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Membership Application
Swimming Pool & Spa Association of Australia Ltd | ABN: 74 150 541 816
Pool & Spa Association of New Zealand | IRD: 127 873 763
8/13 King William Road, Unley SA 5061 | P: +61 1300 021 482 | E: members@spasa.com.au
Members of SPASA
include leading pool
builders, retailers,
pool technicians,
manufacturers,
suppliers, sub-
contractors,
installers, consultants
and other allied
trades, all of whom
set themselves apart
from the rest of the
industry by setting
standards of skill, workmanship and ethical
business behaviour in the best interests of
pool and spa owners.
As a member, you will gain access to expert
advice on technical, legal and contractual
matters; employment relations and human
resource support; workplace health and
safety advice.
SPASA is also a Registered Training
Organisation (RTO) that provides nationally
recognised training and assessment to the
swimming pool and spa industry nationally.
Our courses are designed in consultation
with key industry stakeholders and our
qualifications and accreditations are highly
valued by government, employers and the
wider community.
In today’s demanding work environment,
where there is constant change, complexity
is the norm and new issues arise daily, having
SPASA to turn to is a distinct advantage.
I invite you to join and discover how
becoming a SPASA Member can help your
business prosper in our wonderful but
challenging industry.
Lindsay McGrath
Chief Executive Officer
ABOUT US
The Swimming Pool & Spa Association of
Australia and the Pool & Spa Association
of New Zealand (SPASA) brings together
swimming pool and spa industry stakeholders
to form a representative body focused on
action and influence.
SPASA represents the many and varied
interests of the entire swimming pool and spa
industry with ‘one voice’ to a diverse audience
which includes government, media, investors,
legislative bodies and consumers.
Why you should join: SPASA works for the
pool industry and understands how the pool
industry works.
Becoming a member gives you the
opportunity to be part of a committed body
that is devoted to improving and protecting
the welfare of the entire swimming pool & spa
industry.
It’s much easier for you when you’re a part
of an organisation that’s helping you, your
business and your profession.
We exist to make your role as an industry
professional easier with more worthwhile
communication, education and access to the
latest changes in legislation.
Joining SPASA will open up a new world of
support and access to industry information
and events to assist you in building your
career and business.
BENEFITS OF JOINING SPASA
• Specific industry sector representation
• United representations by the peak
industry body
• Opportunity to enter the Awards Program
• Regional Industry Meetings
• Social & Industry Networking
Opportunities
• Newsletters & bulletins tailored for your
business
• Invitation to exhibit & attend SPASA Expos,
Shows and Conventions
• Commitment to an industry Code of
Conduct
• Opportunity to contribute to issues that
matter most to you
• Access to affordable & relevant education,
nationally accredited training & workshops
• Informative fact sheets on relevant topics,
issues & much more
SPASA MEMBERSHIP FORM PAGE 1
Swimming Pool & Spa Association of Australia Ltd | ABN: 74 150 541 816
Pool & Spa Association of New Zealand | IRD: 127 873 763
8/13 King William Road, Unley SA 5061 | P: +61 1300 021 482 | E: members@spasa.com.au
Trading Name:
Business Lic. No:
ABN/NZBN:
Full Name:
1. Employee Name:
2. Employee Name:
3. Employee Name:
Full Name:
Director 1 (email must be different to office email)
Business Contact Details
Director 2 (email must be different to office email)
Additional Addresses & Employees (if applicable)
Year Commenced:
Email:
Email:
Email:
Email:
Email:
List additional trading addresses and contact details of employees you would like added to the database. Attach
another page to this application form if there is not enough space below. Emails must be different to office email
Office Phone:
Website:
Office Email:
Suburb:
Please check (P) if private:
(If checked, your suburb only will be displayed in the members directory)
Suburb:
Suburb:
State:
State:
State:
Postcode:
Postcode:
Postcode:
Office or Private Address (must not be a PO Box):
Additional Address (must not be a PO Box):
Postal Address (if different from above):
No. of Employees:
Mobile:
Phone:
Phone:
Phone:
Mobile:
Date Lic. Granted:
Contractors Lic. No:
Job Title:
Job Title:
Job Title:
Contractors Lic. No:
SPASA MEMBERSHIP FORM PAGE 2
Swimming Pool & Spa Association of Australia Ltd | ABN: 74 150 541 816
Pool & Spa Association of New Zealand | IRD: 127 873 763
8/13 King William Road, Unley SA 5061 | P: +61 1300 021 482 | E: members@spasa.com.au
Insurance Policies of Applicant
Business Type & Products Sold
Members Directory Bio
Public Liability Insurance
Above Ground Pool Installer
Builders - Commercial Pools & Spas
Builders - Fibreglass Pools & Spas
Builders - Prefabricated Composite Pools
Consultants - Architectural/Design
Consultants - Private Certifier
Earthmoving & Excavations
Fencing/Barrier Inspections
Professional Indemnity Insurance
Above Ground Pool Retailer
Builders - Concrete Pools & Spas
Builders - Vinyl Lined Pools & Spas
Consultants - Expert Reports
Covers/Blankets Installation & Repairs
Electrical Services
Fencing/Barrier Installation & Repairs
Heating Products, Installation & Repairs
Warranty Insurance/Indemnity
Insurance Services
Landscapers
Leisure Products & Accessories
Pool Shop
Pool/Spa Removal - Portable
Renovations - Fibreglass Pools
Service Technicians
Workers Compensation
Interior Products, Installation & Repairs
Leak Detection & Crack Repairs
Lighting Installation & Repairs
Pool/Spa Removal - Inground
Renovations - Concrete Pools
Renovations - Vinyl-lined Pools
Spas & Saunas
Suppliers of Equipment/Accessories
Waterfalls/Features & Fountains
Certificates of Currency or equivalent MUST be attached to this application (where applicable).
So that we can classify your business appropriately in our website directory, please select at least one of the
following products/services your business is involved with (You may select a maximum of 3).
Please supply a short bio, maximum 100 words. Only complete this section if you don’t have a website.
SPASA MEMBERSHIP FORM PAGE 3
Swimming Pool & Spa Association of Australia Ltd | ABN: 74 150 541 816
Pool & Spa Association of New Zealand | IRD: 127 873 763
8/13 King William Road, Unley SA 5061 | P: +61 1300 021 482 | E: members@spasa.com.au
Nominated Membership Category
General
Supplier
Level 1 (<500k)
Level 1 (<500k)
Introductory $1,200
$1,200
$1,200
Level 2 (500k - <1M)
Level 2 (500k - <1M)
Full member $2,250
$2,250
$1,995
Level 3 (1M - <2M)
Level 3 (1M - <2M)
$3,000
$3,000
Level 4 (2M - <5M)
Level 4 (2M - <5M)
$3,500
$3,500
Level 5 (5M - <10M)
Level 5 (5M - <10M)
Retail/Service Groups
Franchisee/Licencee/Dealer
$5,250
$5,250
Level 6 (>10M)
Level 6 (>10M)
$7,700
$7,700
$295
Builder
Fees below cover the annual period 1 January to 31 December and are inclusive of GST. Fees are payable in the
respective currencies for Australia (AUD$) and New Zealand (NZD$). Pro-rata applies from month of provisional
approval of application.
Consultant /
Professional
Services
Corporate
(Retail/Service/Construction)
Commercial Facilities
Landscaper
Individual
Educational Institution
Private
Certifier
Service
Technician
Spa Retailer
Sub-Contractor
Swimming Pool,
Spa & Service
Retailer
Pool & Spa
Barrier
Inspector
Construction Groups
Franchisee/Licensee/Dealer
Student
Pool & Spa Fencing & Barriers
Supply/Installation
Level 1 (<300k)
Level 1 (<300k)
Level 1 (<300k)
Primary store
Level 1 (<300k)
Primary store
Level 1 (<300k)
$295
$1,200
$295
$295
$495
$295
$495
$295
$1,575
$100
$495
Level 2 (>300k)
Level 2 (>300k)
Level 2 (>300k)
Each additional store
Level 2 (>300k)
Each additional store
Level 2 (>300k)
$495
$495
$495
$195
$495
$495
$495
$100
$495
$100
$495
SPASA MEMBERSHIP FORM PAGE 4
Swimming Pool & Spa Association of Australia Ltd | ABN: 74 150 541 816
Pool & Spa Association of New Zealand | IRD: 127 873 763
8/13 King William Road, Unley SA 5061 | P: +61 1300 021 482 | E: members@spasa.com.au
Declaration
Payment
• Pro-rata applies from the month of payment of application.
• A non-refundable application fee of $110.00 is payable with all applications.
• Credit card transactions will incur a 0.5% surcharge.
• If Bank Transfer selected, an invoice will be sent. Application will be processed once payment is finalised.
1. Have you or any director or person in charge of your business ever been declared Bankrupt or involved in a
company which had its affairs placed under the control of another due to the financial circumstances of the
company including an application to wind up, the appointment of an administrator, liquidator or receiver?
No Yes (if yes, please attach full details)
2. Have you or any director or person in charge of your business ever been fined, disqualified or suspended by
the Office of Fair Trading, Court or Insurance provider?
No Yes (if yes, please attach full details)
If accepted as a member of the Swimming Pool & Spa Association of Australia (SPASA), I/We hereby agree to be
bound by the Memorandum and Articles and by any rules from time to time published by the Board of Directors
and be personally liable, if necessary, to pay any annual subscription fees, turnover fees and/or levies as the
Board shall from time to time determine. In addition, if accepted as a Member there is an ongoing duty to disclose
any changes not limited to the following: insurance, licences, turnover, solvency or other circumstances that may
affect membership.
I/We agree to support the aims and objectives of the Association and to abide by its Rules and Code of Ethics.
I/We understand that our information may be passed on to third parties and I/we give consent to collect, use
and disclose information provided in compliance with the Australian and New Zealand Privacy Act(s).
I/We understand that the submission of my/our payment does not mean acceptance for, or any other entitlement
of membership of SPASA, and until a decision is relayed to me/us in writing, I/we are not entitled to use the
Association emblem or in any way indicate that I/we am/are a member of the Association.
I/We declare that all the information contained herein is true and correct.
Signed (Director/Principal/Manager) Dated / /
Card No:
Expiry:
Signature:
/ CVV:
Cardholder Name:
Amount (inc GST): Total inc GST:Plus $110.00 app fee
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Application Form 202103 Fillable (Australian National University)

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Completed 1 August 2021

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