##### Inland Astro-Trail Inc. Membership Application & Joining Fee Form

Date of Incorporation: 10 Nov. 2017, Registration Number: INC1701499 W: www.bigskiescollaboration.wordpress.com/projects/astro-trail/ E: inlandastrotrail@gmail.com

Please fill in and email to inlandastrotrail@gmail.com Yes, I would like to: Join IAT Inc. Join the IAT Inc. Mailing List
Name:
Position:
Organisation/Company:
Postal Address:
Post Code:
Email:
Phone numbers (Mobile, work etc)
Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach
Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach How would you describe your current role? Public Sector Private Sector Education Tourism Local Government Community Organisation Other__________________ Astro-tourism Opportunity Education Heritage, Other __________________ What field are you or your organisation involved in?	Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach How would you describe your current role? Public Sector Private Sector Education Tourism Local Government Community Organisation Other__________________
What interests you about IAT Inc.	Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach How would you describe your current role? Public Sector Private Sector Education Tourism Local Government Community Organisation Other__________________ Astro-tourism Opportunity Education Heritage, Other __________________
Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach How would you describe your current role?	Please tell us a little about yourself and/or your organisation. What field are you or your organisation Public Sector Private Sector Education Tourism Local involved in? Government Community Organisation Other__________________ What interests you about IAT Inc. interests you about IAT Inc. Astro-tourism Opportunity Education Heritage, Other __________________ How would you describe your current Owner/Operator University Sector Retired Manager role? Other________________ If you are interested in participating in a working group, please tick appropriate box: Membership Symposiums Events/Activities Marketing & Communication Media & PR Astro-Heritage Educational Outreach How would you describe your current role? Public Sector Private Sector Education Tourism Local Government Community Organisation Other__________________ Astro-tourism Opportunity Education Heritage, Other __________________ What field are you or your organisation involved in? Owner/Operator University Sector Retired Manager Other________________
MEMBERSHIP CATEGORIES Individual Membership Full-time Students/Mailing List Organisational Membership Other NB: MEMBERSHIP/JOINING FEE IS JUST $5 UNTIL JANUARY 2019. NEW MEMBERSHIP FEES WILL BE DETERMINED BY THE NEW COMMITTEE AFTER THE IAT INC. AGM ON 6 FEB. 2019.
PAYMENT METHODS BSB: 012-790 EFT : Account No. 2323-08258 Please include your name with your payment and record your receipt no. below. Receipt No …… Paypal Credit Card (VISA/MASTER) Card Holder Name: Expiry Date: . Card Number: ______________________________________________

RECEIPT / INVOICE – / INVOICE – RECEIPT / INVOICE This document will become your when completed and payment is made in full. Please keep a copy for your records. IAT Inc. is a non-profit organisation with turnover below the GST threshold, so GST does not apply. PRIVACY DISCLAIMER – DISCLAIMER – The collection of these details is primarily so that we can register you as a member of IAT Inc. This information will be stored in the IAT Inc database and may be used for future marketing of IAT Inc Events. If you do not wish your details to be made available, please tick this box [ ]. If you do not tick the box, then IAT Inc will consider that the individuals completing this form consent to their personal details being used in the manner indicated

Inland Astro Trail INC www.bigskiescollaboration.wordpress.com/projects/ astro-trail/