86 Abel Street
Boyup Brook WA 6244
Telephone 08 9765 1169
Facsimile 08 9765 1340
E: [email protected]
W: www.boyupbrook.crc.net.au
TAX INVOICE
2016-17 MEMBERSHIP APPLICATION
SURNAME: ………………………………………….
ABN: 33 612 027 501
FIRST NAME: ……………………….
BUSINESS / ORGANISATION: …………………………………………………………………..
POSTAL ADDRESS: ……………………………………………………………………………….
…………………………………………………………
PHONE: ……………………………………….
POSTCODE: ………………………...
MOBILE: ……………………………………..
EMAIL: ……………………………………………………………………………………………….
NOMINATED USERS (complete for business or organisation):
#1………………………………………………..
#2………………………………………………
MEMBERSHIP PACKAGES AVAILABLE* (please tick your choice)
Fees GST incl.

GREEN MEMBERSHIP (perfect for individuals)
$30

ORANGE MEMBERSHIP (perfect for individuals – value >$82)
$50

BLUE MEMBERSHIP (perfect for business – value >$104)
$70

RED MEMBERSHIP (perfect for organisations & business – value >$137)
$100

PURPLE MEMBERSHIP (perfect for organisations & business – value >$176)
$125

YELLOW MEMBERSHIP (customised package negotiated with CRC Manager)
$POA
*See over for details of individual packages and Terms and Conditions of Membership
PAYMENT METHOD:
CASH 
BANK DETAILS FOR Direct Deposit:
CHEQUE

BSB: 633 000
Name: Boyup Brook CRC Inc
CREDIT

EFT

Account No: 157499963
Ref: (Surname) membership
I / we hereby agree to abide by the Terms and Conditions of Membership (see over) to the Boyup Brook
Community Resource Centre Inc., pay all amounts owing by me / us when due and take appropriate care in
the use of the CRC and the equipment contained therein. Members under the age of 16 require the signature
of a parent/guardian as guarantor to accept responsibility for charges which may be incurred.
Signed:
….…………………………………………….
Date: ………………………..
(by adult member or guardian of U/16)
OFFICE USE ONLY
Payment Method:
Date Paid:
Membership Number:
Receipt No:
Date Entered into Database:
Date Membership Card Sent:
MEMBERSHIP PACKAGES AVAILABLE
Green Membership – perfect for individuals
 discounted rates as per CRC 2016/17 price list
$ 30.00
Orange Membership – perfect for individuals (valued at >$82)
 discounted rates as per CRC 2016/17 price list
 1 hour free internet per month (12 months)
 10 free photos printed on Snaplab
$ 50.00
Blue Membership – perfect for small business (valued at >$104)
 discounted rates as per CRC 2016/17 price list
 2 free business card size ads in Gazette per year (or advertising to the value of $77)
 1 hour free secretarial support per year (typing, folding etc)
$ 70.00
Red Membership – perfect for community groups and business (valued at >$137)
 discounted rates as per CRC 2016/17 price list
 3 hours room hire (office hours*) per year *if after hours, additional rate applies
 2 free business card size ads in Gazette per year (or advertising to the value of $77)
 1 hour free secretarial support per year (typing, folding etc)
$ 100.00
Purple Membership – perfect for community groups and business (valued at >$176)
 discounted rates as per CRC 2016/17 price list
 4 hours room hire (office hours*) per year *if after hours, additional rate applies
 2 free business card size ads in Gazette per year (or advertising to the value of $77)
 1 hour free 1-on-1 training (by appointment)
$ 125.00
Yellow Membership – want to tailor a package just for you?
 discounted rates as per CRC 2016/17 price list
 Customised package negotiated with Manager
POA
Terms and Conditions of Membership
to the Boyup Brook Community Resource Centre (CRC):
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The different levels of membership entitle members to discounted rates on most (not all) CRC services
plus other benefits. Some of these benefits are negotiable by contacting the Manager.
The Membership benefits are not transferrable to anyone other than is listed on the Membership form.
The term of the CRC Membership is from July 1 to June 30 each year and benefits do not carry over to
the next year.
As a Member of the CRC, you are eligible to nominate for the Management Committee of the CRC.
As a Member of the CRC, you may be included in mailing lists to promote activities, events and
services. Please contact us to unsubscribe from these lists.
A copy of the Constitution of the Boyup Brook Community Resource Centre Inc is available on the
CRC’s website: www.boyupbrook.crc.net.au.
The use, or access, of illegal or offensive material within the CRC will not be tolerated and membership
may be cancelled and access to the CRC denied.
The CRC equipment is not to be used for copying of any material that breaches copyright laws.
Members will show respect to other members and users so as not to disadvantage others’ access to
facilities.
No smoking is permitted within, or at the front of the CRC building. A designated smoking area is in the
carpark at the rear of the building.
Due care is to be taken of all CRC equipment at all times.
Food and drinks are not to be consumed at or near equipment.
Settings on software and displays are not to be changed.
Parents/guardians are responsible for costs incurred by their children
Members and users must report any faults or damage to staff.
Any grievance should be made in writing following the CRC’s customer complaints policy and
procedure.