O.M.E.P WA INC.

World Organisation for Early Childhood Education of WA

ABN 78 016 574 811
Organisation Mondiale pour l’Éducation Préscolaire
Organización Mundial para la Educación Preescolar

APPLICATION FOR MEMBERSHIP OR RENEWAL FORM

Membership is due 1 July each year.

Please complete the following details and return with payment. Your payment will be
acknowledged and our records updated. OMEP WA Inc. is Tax Exempt – GST does not apply to
this invoice.
MEMBERSHIP 2020/2021

 NEW MEMBERSHIP  RENEWAL

 Individual $60.00
 Unwaged (pensioners & self-funded retirees) $40.00
 Student $10.00
 Organisation $100.00

APPLICANT DETAILS

Title _____ First Name ___________________ Last Name _______________________

Organisation (Only complete if organisational member and only one member per
organisation)

Postal Address ___________________________________________________________

Contact Number __________________________________________________________

Email ___________________________________________________________________

Signed __________________________________ Date ___________________________

METHOD OF PAYMENT
 EFT  Cheque
Name OMEP WA Inc. Payable To OMEP WA Inc.
Bank Commonwealth Bank of Australia
BSB 066121
A/C # 10216758

Please return this form with payment receipt/remittance via email: omepwa@gmail.com or
via post: C/O OMEP WA Inc. Membership Secretary, 84 Allen Street, East Fremantle WA
6158.

OMEP is an International non Government organisation founded in 1948 to benefit children under eight years of age. OMEP WA
Inc. - Working for the children of the world.