Membership Level change You have selected the Full Membership membership level. The price for membership is $307.00 now and then $197.00 per Year. The payment of $307.00 includes a one-off $110.00 joining fee and a recurring fee of $197.00. Roadside Assist can be optionally added at an additional payment of $67 which will bring the total including the one-off $110.00 joining fee to $374 and a recurring fee of $264.00. All amounts include GST - a Tax Invoice will be forwarded to you upon receipt of payment. Account Information Already have an account? Log in here Username Password Confirm Password First Name Last Name E-mail Address Confirm E-mail Address Full Name LEAVE THIS BLANK Contact Information Title Mr Mrs Ms Miss Address Suburb Postcode State VIC ACT NSW QLD SA TAS WA NT Business Phone Mobile Phone Home Phone Member Information ADTAV Number - OFFICE USE ONLY Date Joined - OFFICE USE ONLY Drivers License Number Car Registration Number Attach Drivers License Image Please upload only .jpg files DIA Number Attach DIA Number Image Please upload only .jpg files Working With Children Number Attach Working With Children Image Please upload only .jpg files Gender Male Female Business Information Name of Driving School Website Address Status Owner Sub-Contractor Manager Partner Employee Other Manual or Auto Manual Auto Both Working Suburbs Special Fittings Dual ControlsHand ControlsLeft Foot AcceleratorInterlock Device Testing Station (multi-select) AraratBairnsdaleBallaratBenallaBendigoBroadmeadowsBundooraBurwood EastColacCarltonCobramDandenongDromonaEchucaFrankstonGeelongHamiltonHeathertonHoppers CrossingHorshamKynetonLeongathaMilduraMeltonmorwellMooroolbarkPackenhamPortlandSaleSunburySeymourSheppartonSwan HillSunshiineWarragulWangarattaWerribeeWodonga Languages (multi-select) ArabicCantoneseCroatianFilipinoFrenchGermanGreekHindiIndonesianItalianJapaneseMandarinPunjabiSerbianSinhaleseSpanishTamilThaiTurkishVietnamese Specialisation Areas Young LearnersOlder DriversOverseas DriversO/T Assessments Qualification Obtained From: Year Entered Industry Type of Vehicle CarHeavy VehicleMotorcycleRTO TrainerOther Roadside Assistance Membership Add Roadside assist to my Membership Would you like to set up automatic renewals? Yes, renew at $197.00 per Year. The payment of $307.00 includes a one-off $110.00 joining fee and a recurring fee of $197.00. Roadside Assist can be optionally added at an additional payment of $67 which will bring the total including the one-off $110.00 joining fee to $374 and a recurring fee of $264.00. All amounts include GST - a Tax Invoice will be forwarded to you upon receipt of payment. Choose Your Payment Method Pay with PayPal Pay by Cheque ELECTRONIC FUNDS TRANSFER BSB: 633-000 ACC#: 157689266 MESSAGE REFERENCE: Please include your name as payment reference. CHEQUE/MONEY ORDER Please forward your payment in Australian dollars, drawn on an Australian bank. Cheque/Money Order to be made payable to 'Australian Driver Trainers Association (Victoria)' Do not staple cheque. Cheques to be forwarded to; PO Box 1371 Mitcham North Vic 3132 Processing...
