NEW Member Application Form

Current ORIC Members - please go here for Membership Renewal Form

ORIC Membership is due for renewal in April each year

Name of Organisation/Individual
ABN Registration No.
Nominated Representative

Representative's Position
Postal Address
Postcode
Street Address
(if different from above)
Telephone
Fax
Mobile
Email
Web URL

Type of Business

(Check all that are applicable)

Sole Proprietor
Limited Company
Public Company
Association
School
Religious / Ministry
Volunteer
School-owned Property
Duke of Edinburgh Operator
Other (specify)

Style of Business

(Check all that are applicable)

Group accommodation
Conference facility
Outsourcing provider
Tours and travel groups
Off-site activity provider
Catered operation
Adventure activities
Corporate
Environmental studies and education
Other (specify)
Does your business carry Public Liability Insurance for all activities?
No Yes
Is your insurance provider APRA Approved?
No Yes
How many Client Days are provided per year?


Total No. of Persons Employed?


Full-Time Equivalent Number?

Casual Equivalent Number?

Volunteers?

Do you or your staff work with children in the course of your work?
No Yes
Have you completed 'Child Protection Checks' for all staff working with children?
No Yes
Do you have a 'Child Protection Reporting' procedure in place?
No Yes

Do you use State Forests?

No Yes
How Many Day Visits per year
do you enter State Forests?
1 to 49    50 to 99    100+
Do you use National Parks?
No Yes
How Many Day Visits per year
do you use National Parks?
1 to 49    50 to 99    100+
How Many Overnight Stays per year do you use National Parks?
1 to 49    50 to 99    100+
Do you hold a NPWS Licence?
No
Yes - Licence No.   
What watercraft do you operate?

Row boats - How many? 
Canoes - How many?     
Kayaks - How many?     
Sail boats- How many?  

Do you hold a NSW Maritime Hire & Drive Licence?
No
Yes - Licence No.  
Comments

STEP 1: Fill in and submit the above form.

STEP 2: Go to Credit Card payment for - Here

STEP 3: Fax payment form to ORIC

Membership valid 1 April 2008 - 31 March 2009

Joining Fee
$140.00
   
Annual Membership
$399.00
   
TOTAL
$539.00
(+GST) = $592.90

Please print out Credit Card Payment Form and fax to ORIC on 9487 8666

Invoice issued will become a Tax Invoice for GST purposes only after ORIC has received full payment.

Signature acknowledges Membership Registration and Terms & Conditions.

         

 

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Renewing
ORIC members
click here

FAX printout for
NEW Membership
payment
click here

 

   
   

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