Membership Application 
Please complete the following and post to the address above.
On acceptance of your application, a tax invoice for a membership subscription (refer below) will be emailed to you.
Name of organisation: ___________________________________________
Type of organisation: ________________________________________________
Name of representative: ________________________________________________
Representative’s Title: ________________________________________________
Address: __________________________________________________________
PO Box: ___________________________________________________________
____________________________________State_________Postcode ________
Telephone:( ) _____________________ Mobile: _______________________
Email: ____________________________________________________________ _
Website (to be linked from www.foodsafety.asn.au ) : _______________________________
I, _______________________ (Print Name), agree to support the work of the Food Safety Information Council in disseminating food safety information to the general community. I also agree to not use any liaison with the Council for commercial gain.
Signature:______________________________________Date: ______________
Membership subscriptions:
Commercial enterprises and Government agencies $1,320 (incl GST) per annum
Professional associations $660 (incl GST) per annum
Local government and individual members $330 (incl GST) per annum
Contact Information: foodsafety@ozemail.com.au
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