Lodge with the Executive Officer, NSQA Inc, PO Box 73, Oakleigh South, 3167

APPLICATION FOR ASSOCIATE MEMBERSHIP

An “Associate Member” means an organisation, not being a Member, which has a financial interest in a Company. An “Associate Member” is not entitled to be a Committee Member, not vote for election of the Committee. They shall be eligible to attend but not vote at meetings of the Association.

An “Associate Member” shall not be eligible to obtain or retain NSQA Accreditation

The Committee have resolved that there shall be no Joining Fee for an Associate Member

The Associate Membership Fee for 2013-2014 is $181.50 including $16.50 GST

An Associate Member shall be entitled to receive a copy of the NSQA National Standard

Name of Applicant: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(eg Name of Saleyard/Organisation)

Postal Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Contact person: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Phone: . . . . . . . . . . . . . . . . . . . . . . Fax: . . . . . . . . . . . . . . . . . . . .

Mobile: . . . . . . . . . . . . . . . . . . . . . . E-mail: . . . . . . . . . . . . . . . . . . .

Brief detail of Applicant’s association with saleyard industry: . . . . . . . . . .

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Do you require a copy of the NSQA National Standard? Yes/No

Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Person authorised by the Applicant)
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Office use:

Date received: Manual Number issued: