Institutional/School
Membership Form
ABN. 20 024 451 638
Tax Invoice 2016
PO Box 5548, Hughes ACT 2605
2012
The Children’s Book Council of Australia works to improve the quality of children’s books through the
The Children’s Book Council of Australia
ACT Branch
Children’s Book of the Year Awards which recognise and publicise the best of Australian literature for young
people. Membership of the CBCA is open to any person, school, library or other organisation.
Benefits of CBCA (ACT Branch) Membership:

See our website for a full list of membership benefits http://cbcaact.org.au/membership/
Membership is from 1 January until 31 December 2016.
Institutional Member**
School/Institution:
Information Distributor***
Contact name:
Email address:
2nd Contact name:
Email address:
School Business Manager:
(for account queries)
Email address:
Postal Address:
Postcode:
Telephone:
(W)
(AH/Mobile)
**Institutional membership is in the name of the school/institution; one of the two designated contact people have 1
voting right and either contact person can claim discounts on behalf of the school/institution.
***'Institutional Membership' covers all employees from the nominated school/organisation/business, so to ensure that all
members/employees receive the benefit of the Institutional membership, we ask that the 'Information Distributor' undertake to
distribute email and hard copy information received from the CBCA ACT to his or her workplace companions.
Membership rates:
Institutional/ School:
$100.00
Donation to Awards Foundation: ABN: 14 009 580 956
(if wishing to make a donation by direct debit use BSB 062-182 Account No.
10024141 and include your name and initial as the reference)
Donation to CBCA Gift Fund ABN: 14 009 580 956
(if wishing to make a donation by direct debit use BSB 064-214 Account No.
10167335 and include your name and initial as the reference)
$
Amounts over $2 are tax deductible
$
Amounts over $2 are tax deductible
$
Amounts over $2 are tax deductible
Donation to National Centre for Australian
Children’s Literature (NCACL)
ABN: 58 255 965 426
(if wishing to make a donation by direct debit use BSB 062-901 Account No.
10201872 and include your name and initial as the reference)
Payment:
I enclose cheque / money order for
$
made payable to CBCA (ACT Branch) Inc.
by electronic transfer to CBCA (ACT Branch) Inc. (BSB No. 062 905
OR I have paid $
Account No. 10101547) and my Internet transaction receipt/confirmation no. is:
Please complete all details and post this form to CBCA (ACT), PO Box 5548, Hughes ACT, 2605
or email form to: info@cbcaact.org.au
Please note: Newsletters and communications will be sent via email wherever possible.
*Please tick if you do not wish to receive emails 