New Membership Group Application

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The insurance broker needs a breakdown of the ages of the members in your group. Please advise details below.

How many of your members are aged :

Payment for New Group Membership is $85. This includes a $60 Annual Fee and a $25 joining fee. Please send payment of $85 using one of the options below.

The Annual Fee for a Group Membership with 1 - 25 members is $205, which is made up of the following: $60 membership; $25 joining fee; $120 insurance.

The Annual Fee for a Group Membership with 26 - 50 members is $260, made up of the following: $60 membership; $25 joining fee; $175 insurance.

The Annual Fee for a Group Membership with 51 - 100 members is $405, made up of the following: $60 membership; $25 joining fee; $320 insurance.

The Annual Fee for a Group Membership with 101 - 200 members is $570, made up of the following: $60 membership; $25 joining fee; $485 insurance.

The Annnual Fee for a Group Membership with 201 - 300 members is $630, made up of the following: $60 membership; $25 joining fee; $545 insurance.

The Annual Fee for a Group Membership with 301 - 400 members is $735, made up of the following: $60 membership; $25 joining fee; $650 insurance.

The Annual Fee for a Group Membership with 401 + members is $800, made up of the following: $60 membership; $25 joining fee; $715 insurance.

Please deposit payment to :
Victorian Quilters Inc.
BSB 033 180
A/C 302487
For the Reference, please use Your Group Name.
Once payment is made, send an email to insurance@victorianquilters.org with the acknowledgement number.
This information will be included in the email you receive after submission of this form.

Please notify Victorian Quilters Inc. of any changes to the above details using the Changes to Group Membership form on the website (under the 'Membership' tab).

Once your form is submitted, you will receive an email to the groups email address named above, with payment details for your reference.

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