Portland Tourist Association Inc
.PO Box 1142Portland Vic. 3305
ABN: 61780462882
ACN ; A00113630C
Membership Application
Business Name; ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Type of Business; ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Name/s of Operator/s; …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Physical Address; …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Postal Address for mail; ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Phone Number; ……………………………………………………………………………………………
Mobile Number ; ………………………………………………………………………………………….
E-Mail Address ; ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Business Category.
Category 1 – Retail Services $ 110.00
Category 2 – Restaurants, B&B’s and Holiday Houses $132.00
Category 3 – Hotels, Motels, Caravan Parks & Multiple Accommodation Providers $ 192.50
Category 4 – Non Profit organisations & Friends of PTA $33.00
Payment Amount Enclosed $ ………………..
Please return this form with your cheque / money order made payable to
Portland Tourist Association
PO Box 1142 Portland
EFT Payments
BSB 633 000
Acc No 1503 34456
- There is no GST payable on Memberships
ON RECEIPT OF PAYMENT A TAX INVOICE AND YOUR NEW MEMBERSHIP STICKER WILL BE FORWARDED TI YOU.
Website; www.visitportland.com.au
Face Book Portland Tourist Association