Membership and Online Registration Form

Indian Chamber of Commerce & Industry Inc. Australia

ICCI Inc. Registration Number A1021751J

I/We would like to become a member of Indian Chamber of Commerce & Industry Inc (Registration No: A1021751J).

Please √ one from the following categories (fee is for up to 30th June 2019 after that annually from 1st July to 30th June). Please note, discounted Introductory membership-fee is only valid till 30th June 2019.

Associate Member (No voting right)

$0(Nil)

Member

$11 Annual

Life Member

$110 Once off

Corporate Member

$220 Annual

Association Member

$110 Annual

Government Agency/Department

$330 Annual

For aims, objectives and membership details, please refer www.icciaustralia.org.au/aims.

My/Our particulars are as under:

Mr.
Mrs.
Miss.
Dr.
Prof.
(if not Australia):
(if any):

Bank: National Australia Bank

Account Name: ICCI Inc

BSB: 086 217

Bank Account Number: 92 590 8846

Credit Card Service Fee

AMEX, Diners - 4.5%

Master Card,VISA - 2.6%

10% GST is applicable on all Credit Card Service Fee's.