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Applicant Details - please fill in all relevant fields. |
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*denotes required information
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| Membership # if known |
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| Full Name (*) |
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| Mailing Address (*) |
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| Phone (*) |
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| Mobile |
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| Email (*) |
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| Business Name |
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| Web Address |
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IMPORTANT |
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| I want my contact details on the AMQA website (*) |
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Quilting Machine Details |
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| Machine Brand (*) |
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| Model (*) |
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| Do you have a computer system? |
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| If yes, which brand? |
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AMQA - Helpful Information |
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| Please check all that apply |
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Optional-Please list any other skills or qualifications you may have that you can offer AMQA. Eg Administrative, website management, graphic design, articles for newsletter etc. |
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| What can you offer! |
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Fees- Renewals are due October 1st each year |
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please check the AMQA website for the appropriate membership type, then tick the applicable box. |
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| Type of Membership (*) |
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Pro rata payment - is applicable to NEW members only in their FIRST year of joining. |
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| Join between: |
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PAYMENT DETAILS |
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Rebate-If you have attended a workshop in the past 12 months, that is eligible for a rebate from AMQA,you must claim the rebate with this renewal. To claim - upload a copy of the workshop receipt as proof of attendance and deduct the rebate from your renewal fee. The rebate must be claimed with the first membership renewal after the workshop or the rebate will not be valid. |
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| Upload your workshop receipts to claim your rebate |
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Please calculate your payment & advise of amount paid |
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| Amount paid (*) |
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| Payment Method (*) |
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If you choose to direct deposit your membership fee, please put your name in the reference field |
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| If you have paid by direct deposit, please provide your receipt# |
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By submitting the information in this form you are confirming that all information is true & correct. Please note that in accordance with the Privacy of Information Act, information provided on this application form will be treated in the strictest confidence. |
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| Please validate by entering the text in the box |
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| Submit |
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