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Joining your union is one of the most empowering actions you can take in ensuring you have a voice in your working conditions.

Together we can work together to keep the rights we’ve worked hard for – and win new ones.

If you’re still studying to be an educator, you can still belong to the IEUA WA Branch – become a Student Member.

If you’re brand-new to teaching, you receive a discounted rate for your first year.

If you’re retiring, we have an Associate Membership rate so you can stay in touch with the industry you contributed so much to.

Before joining, please read the IEUWA’s Industrial Assistance Policy.

It’s time to join – we’re stronger together.

Step 1 of 3

I hereby apply for membership of the Independent Education Union of Australia WA Branch (ABN 59 914 290 495) (IEUA WA Branch). I hereby apply for membership of the Independent Education Union of Western Australia, Union of Employees (ABN 68 525 870 113) (IEUWA). I hereby appoint IEUWA and IEUA WA Branch as my agent and I authorise IEUWA and IEUA WA Branch to represent me in any industrial matter or dispute. This authority to represent me may be withdrawn by written request. I request that the membership subscription, including any increase, as determined by the Executive, be charged to my nominated account. This authority is to apply until cancelled in writing by me. I must give a minimum of 14 days’ notice of my intention to resign my membership. I acknowledge that if joining with a pre-existing issue, assistance is at the discretion of the Union Secretary and back payment of contributions may be required. *

I have read and understood the above

Prefix *

Please include prefix if not listed above

Name *

First

Middle

Last

Preferred Name *

Date of Birth *

Gender *

Do you wish to be recorded as being of Aboriginal or Torres Strait Islander descent? *

Postal Address

Address (Unit number/Street Number Street Name) *

Suburb

State *

Postcode *

Phone and Email

Personal email *

Work email *

Preferred contact email – please select one only *

Personal email
Work email

Home phone

Mobile phone *

Employment Details

School

If your school is not included, please write it below

Job Title

If your position is not included, please write it below

Department/Area

If your department or area is not included, please write it below

Educators – please specify your year level

Registration Status

If you are an Early Career Teacher, please note your first year of employment

Please record as MM/YY

Staff Type

Occupancy

Payment Options

1. Annual Fees paid in instalments (monthly etc). 2. Annual Fees include a 5% discount when paid upfront. 3. First Year Teachers and general staff in their first year of paid employment in education are eligible for a special rate. 4. Fees are based on gross annual salary prior to salary packaging or salary sacrifice. 5. RELIEF TEACHERS may be entitled to a Special Subscription Rate equivalent to the ‘Up to $20,000’ category. 6. All Unions Subscriptions include GST. Union Subscriptions are a tax deduction.

Please read and tick the box to proceed *

I understand that Subscriptions are based on gross annual salary and are payable by direct debit from my nominated credit card or bank account.

Salary Level *

Payment Option *

Direct Debit

IEUA WA BRANCH DIRECT DEBIT SERVICE AGREEMENT *

I have read the Direct Debit Agreement and understand the terms and conditions. *

1. Membership subscriptions shall be debited either fortnightly or monthly. All fortnightly debits will be processed on Thursdays. All monthly debits
will be processed on the 1st of each month. If the day is a Public Holiday the debit will be processed on the next Business Day.
2. The IEUA shall provide not less than 14 days’ notice to Members of any variation of debit arrangements.
3. The IEUA reserves the right to review from time to time the membership subscriptions and to increase the debit to the relevant subscription.
4. A Member shall provide 14 days’ notice in writing to the IEUA to terminate or alter direct debit arrangements.
5. It is the responsibility of the Member to notify the IEUA in advance of periods of unpaid leave such as Maternity Leave to be eligible for the
reduced rate. Membership subscriptions are payable during all paid leave such as Long Service Leave.
6. Any dispute relating to incorrect or wrongful debit must be directed to the IEUA in the fi rst instance.
7. Please be advised that direct debit is not available on all accounts and it is the responsibility of the Member to check with their Financial
Institution before completing a Direct Debit Request.
8. It is the responsibility of the Member to ensure that sufficient clear funds are available in the relevant account by the due date to permit the
payment of this debit item in accordance with the Direct Debit Request and this Agreement.
9. When the due date for payment falls on a day which is not a Business Day in the place of lodgement and the Member is unsure when the debit
will be processed the Member should inquire direct to the Financial Institution.
10. When a debit payment is returned unpaid by the Financial Institution to the IEUA the Member will be contacted regarding account details and
for payment of outstanding amount.
11. Direct Debit Request forms will be stored in a secure location and privacy accorded to Members’ details.
12. This IEUA Direct Debit Service Agreement is to be retained for your records.

Please solve this problem to prove you are not a robot *

Name

Postal Address

Phone and Email

Employment Details

Payment Options

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