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Protect the union that protects you

PAYMENT detailS
Please choose a payment option.
Direct Debit from your cheque or savings account
I,
Authorise the NSW Teachers Federation (User ID
318970) until further notice in writing, to arrange
for funds to be debited from my account as listed
immediately below, for the relevant amount for
my subscription to the NSW Teachers Federation.
Fortnightly

OR Automatic Credit Card Payments


I,
Authorise the NSW Teachers Federation until further
notice in writing to arrange for funds to be charged
to my credit card as listed immediately below the
relevant amount for my subscriptions to the NSW
Teachers Federation.
Fortnightly
Monthly

Details of Account to be Debited

Details of Credit Card to be Charged

Name on Account

Please debit my (please tick one)


Mastercard
Visa

BSB
Account Number
Financial Institution

Branch
[NSW Teachers Credit Union BSB 802-194]
Please note that Direct Debit is not available on all accounts.
If in doubt contact your financial institution.

Make the switch to direct payments

Card Number
Name on Card
Expiry

I have read the Automatic Payment Service Agreement


and agree with its terms and conditions.

I have read the Automatic Payment Service Agreement


and agree with its terms and conditions.
Signature:

Cardholders Signature:

Date:

Date:

Please send me a tax invoice for payment



of membership fees.

Please return your completed form to


The NSW Teachers Federation
Locked Bag 3010 Darlinghurst 1300
Phone:
Fax:
Email:
Membership:

9217 2100 or 1300 654 369


9217 2470
mail@nswtf.org.au
1300 654 363

www.nswtf.org.au

Your union

worth the investment


NSW Teachers Federation

With you at work

www.nswtf.org.au
Printed on recycled paper.

New South Wales Teachers Federation (State registered industrial union of employees) AND
Australian Education Union (Federally registered organisation of employees)

Make
the
Switch
to Direct Payments of your Union Subscriptions
The Federation is asking members to change
the way they pay their union subscriptions.
We are asking members to make the switch
to direct debit or direct credit card payments
rather than the traditional payroll deductions.
There have been occasions in the past
when various governments have either
threatened or actually taken away payroll
deductions of union fees in an attempt to
attack the Federation and its members
during industrial campaigns.
The Federation knows from teacher unions
in other states that conservative governments
have in their industrial relations legislation,
abolished payroll deductions by employing
authorities. This has left teacher unions
weakened and their members vulnerable.
It is essential that the Federation continues
to have the capacity to advocate on behalf
of teachers, students and public education.
We need to remain vigilant to ensure that
it is not possible for future state and federal
governments to jeopardise the ability of
members to pay their union fees.
The Federation believes that switching
to direct payments is the best way to
keep the union strong and therefore
provide the best protection to teachers.

Office Use

Note: you must complete


both sides of this form.

Automatic Payment Service Agreement

PERSONAL DETAILS

We the NSW Teachers Federation agree to the following


commitments to you:

Membership number

The NSW Teachers Federation will debit/charge your membership


fees as they fall due according to the schedule you nominate.

Permanent Full-time

The NSW Teachers Federation will only use this authority to debit/
charge regular union fees. Additional amounts for outstanding
fees will only be debited/charged if you specifically authorise us
to do so.

Casual

Temporary Full-time
Permanent Part-time


Part-time LWOP


The NSW Teachers Federation will notify any changes in your


union fees through Education and the Federations website.

No. of days worked per week

The NSW Teachers Federation will keep all information provided


by you secure and confidential.

Temporary Part-time

Part-time Maternity leave




No. of days worked per week

The NSW Teachers Federation will investigate and deal promptly


with any queries, claims or complaints regarding debits/charges
and provide a response within 20 business days of receipt.

Workplace

Your Commitment to the NSW Teachers Federation:

Surname

You will ensure that the account details on the Payment


Authority form are accurate.

First Name(s)

You will ensure that you have sufficient funds or credit


available in the nominated account as your fees fall due.
You will let us know in writing if the nominated account
is altered, transferred or closed.

Title (Mr/Mrs/Ms/Miss)

Date of Birth

Home Address

Suburb/Town

Gender

Male

Postcode

Female

State

You will check with your bank or financial institution that


the amounts debited/charged to your nominated account
for your NSW Teachers Federation fees are correct.

Telephone: Home Work

If the charging arrangements are stopped by you or your


nominated bank or financial institution, you will arrange
a suitable alternative payment method with the NSW
Teachers Federation.

Email: Home

You will meet any charges resulting from insufficient


funds being in your nominated account on the due
date for payment of your fees.

Instructions to Employer ceasing subscriptions from payroll

Privacy Statement

School
TAFE
Corrective Services
AMES
Other (please specify)
Please cease all NSW Teachers Federation deductions from my fortnightly salary from the pay period as advised
by the NSW Teachers Federation.

Mobile
Email: Work

Instruction to Manager/Director Salaries,

The NSW Teachers Federation operates in accordance with


the provisions of the Privacy Act 1998. We are committed to
handling your personal information in a strictly confidential
manner. Our complete Privacy Policy is available on our
website: www.nswtf.org.au

Signature:

Date:

NSW Teachers Federation worth the investment

www.nswtf.org.au

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Serial/Payroll number:

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