WA Membership Application

!!!!STOP PRESS!!!!

GREAT DISCOUNT OFFERS - SAVE UP TO $75!

EARLY BIRD OFFER: Pay by 30th November 2011 - SAVE $25

or GET SMART with our SUPER SAVER OFFERS:

Pay 2 Years together (thru 2013) - SAVE $50

Pay 3 years together (thru 2014) - SAVE $75

(eg a Retail Outlet would pay $900 instead of $975 for the 3 years fees).

Offer ends 30th November 2011.

Student	$ 50.00
Agencies - per state	$225.00
Educational Establishment	$225.00
Hardware/Fitter	$150.00
Importers/Exporters	$325.00
Designers/Decorators/Architects	$150.00
Fabric Wholesaler/Manufacturer	$325.00
State Wholesaler	$325.00
Related industry Member	$325.00
Soft Furnishings Workroom	$325.00
Retail Outlet	$325.00
Country Retail Outlet	$150.00
Multi store Membership 2-4 outlets	$450.00
Multi store Membership 5+ outlets	$600.00

The WINDOW COVERINGS ASSOCIATION OF AUSTRALIA INCORPORATED is a non-profit organisation, and GST exempt.

Email Address: *

First Name:

Last Name:

Business Logo:

Business Name: *

Street Address: *

Suburb: *

State: *

Postcode: *

Website Address:

Trading Hours:

Phone Number: *

Fax Number:

Mobile Number:

Map Reference:

Payment Types Accepted:

Region Serviced: *

Available

Selected

Brief intro about your business (up to 200 characters):

Blurb about your business (up to 200 words):

Image of your work/business (1) (medium-high quality .jpg):

Image of your work/business (2) (medium-high quality .jpg)

Image of your work/business (3) (medium-high quality .jpg):