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Spirits Victoria Association Membership Form
Spirits Victoria is open to all participants in the spirits industry that operate in Victoria, from distillers and their suppliers to wholesalers, retailers, bars and bartenders.
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Email
*
Your email
Membership Options
Please choose between the following membership options:
Business Members - Membership for business and one owner/director. Annual Membership Fee $250.00. Full Voting Rights.
Individual Members - Membership for one individual. Annual Membership Fee $100.00. Full Voting Rights.
Membership Category
Business Member
Individual Member
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Company Name
Your answer
Director/Member Name
*
Your answer
ABN
Your answer
Postal Address
*
Your answer
Suburb
*
Your answer
Postcode
*
Your answer
State
*
Choose
Victoria
New South Wales
Queensland
South Australia
Tasmania
Western Australia
ACT
NT
Mobile number
*
Your answer
Name of Distillery/Business
Your answer
Industry Involvement
*
Distillery
Wholesaler
Retailer/Bar
Employee
Supplier
Other:
Required
Payment Details
Membership Fees Should be paid by EFT to
Spirits Victoria Associated Inc
BSB 633-000
Account 179 085 709
An invoice will be provided to you by email when receipted by Treasurer.
Payment Date
*
MM
/
DD
/
YYYY
Payment Reference
*
Your answer
Member Declaration
By Applying for membership, I confirm that:
- The material in this application is correct;
- I will comply with the requirements of the Rules and By-laws of Spirits Victoria Associated Inc;
- I consent to the terms of the Privacy Policy of Spirits Victoria Associated.
A copy of your responses will be emailed to the address you provided.
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