Application for membership of the ACT Motor Trades Association

Business Information

ABN:*
Trading Name:
Legal Name of Business
Business is a:
Surname First Name:

Contact Information

Address:
Suburb:
Postcode:
Postal Address: As above
Phone Numbers:
Fax Number:

Other Information

Principal Nature of Business:
Web Address:
Email Address:*

Employees

Number of employees:
Number of Apprentices First Year:
Second Year:
Third Year:
Fourth Year:

Payment

To protect your security online we do not accept credit card details on this form. Please indicate your preferred payment option and the MTA ACT Team will contact you to arrange payment of your membership fees.

Payment By
*We accept Capricorn cards

Declaration

By submitting this form I / We declare the answers to the above questions are true and correct and desire to join the Motor Trades Association of the ACT. I / We agree to be bound by the Constitution and Rules of MTA ACT and authorise the entry of my / our name/s in the register of members.

I / We acknowledge that I / We will comply with the MTA ACT Statement of Business Principles and all codes of practice that apply to my / our industry. I / We hereby appoint to be our firm’s nominated representative to whom MTA ACT is authorised to address all Association communications until advised to the contrary by me / us.