(To print, highlight form, select "copy" from the Edit menu, open
Microsoft Word, paste to a new document, then print).
Note:
please do not make payment before the application is approved
Australian Coffee Traders Association inc.
ABN: 85 439 269 497
PO BOX 371 COOGEE NSW 2034
Company Name
Address
State Post
code
Contact Name
Telephone
Fax
Mobile
Email
(Please select one membership
category)
Full Member: $600.00per year (due 1st
January)
Including weblink
For:
Grower/Exporter/Producer
Importers/Green Brokers
Roasters /
Wholesalers
Associate Member: $575.00per year
(due 1st January)
Including weblink
For:
Coffee Machinery Manufacturer
Food service/Distributor/Other
Name & Signature:
................................................
Please
complete, sign and return this form to:
ACTA
P O BOX 371
COOGEE NSW 2034
catherine@acta.org.au
Please note that applications will be passed by Committee for approval before any fees required.