New Membership Group Application New Group Membership Application Name of Membership GroupPostal Address for GroupAddress Line 1Address Line 2SuburbStatePost CodeAddress where group meetsAddress Line 1Address Line 2SuburbStatePost CodeEmail address for GroupName of PresidentPhone no.EmailName of SecretaryPhone no.EmailWho is the main contact person for the group?If not already provided, please add their phone number hereDoes the group have a social media page or website? Yes NoIf yes, please provide the link hereDo you wish to take out Public & Products Liability Insurance with Victorian Quilters Inc. for your Group? Yes NoPayment for New Group Membership is $90. This includes a $60 Annual Fee and a $30 joining fee. Please finish completing the form and you will receive instructions on how to pay after submitting.The insurance broker needs a breakdown of the ages of the members of your group. Please advise details below. How many of your members are aged : Compulsory Fill : If no-one in your group fits an age group, please put 0.Under 1818-7475-84Over 85How many Members do you have in total in your Group? Please select the appropriate number & the cost of Public & Products Liability Insurance PLUS annual membership fee of $60 will be calculated. 1 - 25 26 - 50 51 - 100 101 - 200 201 - 300 301 - 400 401 & overThe application fee for Group Membership for 1 - 25 Members is $222. This fee is made up of $30 joining fee, $60 annual fee & $132 insurance.The application fee for Group Membership for 26-50 Members is $283. This fee is made up of $30 joining fee, $60 annual fee & $193 insurance.The application fee for Group Membership for 51 - 100 Members is $442. This fee is made up of $30 joining fee, $60 annual fee & $352 insurance.The application fee for Group Membership for 101 - 200 Members is $624. This fee is made up of $30 joining fee, $60 annual fee & $534 insurance.The application fee for Group Membership for 201 - 300 Members is $690. This fee is made up of $30 joining fee, $60 annual fee & $600 insurance.The application fee for Group Membership for 301 - 400 Members is $805. This fee is made up of $30 joining fee, $60 annual fee & $715 insurance.The application fee for Group Membership for more than 401 Members is $877. This fee is made up of $30 joining fee, $60 annual fee & $787 insurance.Our group is able to sell a book of 10 Raffle tickets @ $2 each for the Showcase Raffle Quilt. Yes NoOnce the form is submitted, a confirmation email will be issued to the 'Main email for group' address as completed above, so please ensure this is correct. The confirmation email will include the details of the bank account where deposit is to be made, the amount, and the email address to send the confirmation.Submit Form
